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87 Y/O with Advanced BCC

87 yo with advanced basal cell carcinoma.

He was a poor surgical candidate due to many issues.  Pt was given vismodegib (oral QD sonic hedge hog pathway inhibitor) and lost to f/u for 2 months.

Slides 6-7:  Sample coronal T1 sequences where the mass was on f/u visit.  Patient is happy.

Slides 8-9:  Sample T2 weighted FS and T1 weighted FS post contrast images.

Slide 10:  Examples of tx’d pt’s from a recent study
(NEJM 2012; 366: 2180-8J, Jean Y Tang)