SUBSEQUENT MIXED AND BASAL CELL CARCINOMAS IN A PATIENT AFTER KIDNEY TRANSPLANT – CASE REPORT

Non-melanoma skin cancer is generally caused by a combination of environmental, genetic and phenotypic factors. The risk of developing skin cancers increases under circumstances of reduced immune response. We present the case of a 62-year-old patient, urban area, known with kidney transplant, with immunosuppressive therapy since 2009, at which the first basal cell carcinoma occurred four years after the initiation of therapy. Over the next two years, she developed two more tumors and several actinic keratoses on the face. Based on the clinical and histopathological examination, we established the diagnosis of solid and ulcerated basal cell carcinoma of the nasal pyramid and mixed carcinoma (basal cell carcinoma and well differentiated squamous cell carcinoma) for the tumor localized in the right zygomatic region. Considering the patient's immune status, we recommend quarterly surveillance due to the increased risk of relapse and the risk of developing new skin cancers.