Outcome following radiotherapy for head and neck basal cell carcinoma with ‘aggressive’ features

Basal cell carcinoma (BCC) is a malignant neoplasm derived from the basal layer of the epidermis [1]. It is the most common cancer type in western countries and the incidence is rising [2]. Most BCCs (80–90%) occur in elderly patients and frequently on sun-exposed body parts such as the head and neck, which is also the most common site [3,4]. Head and neck BCC (HN-BCC) are generally slow growing. However, a subset of HN-BCC may behave more aggressively and lead to greater morbidity and mortality [5].

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