RT Journal Article SR Electronic T1 Aggressive progression of a facial super giant basal cell carcinoma JF BMJ Case Reports JO BMJ Case Reports FD BMJ Publishing Group Ltd SP e240617 DO 10.1136/bcr-2020-240617 VO 14 IS 4 A1 Athina Lidia Yoham A1 Hadeer Sinawe A1 Jack Schnur A1 Damian Casadesus YR 2021 UL http://casereports.bmj.com/content/14/4/e240617.abstract AB Super giant basal cell carcinoma (BCC) is a rare oncological entity. A 52-year-old man with a history of a left upper facial lesion for 11 years was transferred to our facility seeking an evaluation. He frequented multiple hospitals where he was treated with antibiotics for this condition. He reported having the Mohs procedure 8 months prior to this hospital visit but he did not follow-up with the other institution. The physical examination revealed an ulcer involving the upper left orbito-fronto-parieto-temporal area with bone exposure. Both CT and MRI of the face and the brain demonstrated dehiscence of the left lateral orbital roof and left frontal bone. The biopsy confirmed advanced BCC. He was discharged against medical advice and lost to follow-up. He returned 1 month later with left eye discharge and vision loss. He was diagnosed with cerebral abscess, treated with antibiotics and discharged to hospice.