A case of basal cell adenocarcinoma of the hard palate which progressed to the cheek

We report a case of basal cell adenocarcinoma (BCAC) of the hard palate. A 63-year-old woman visited our hospital because of swelling of the left cheek. The tumor occupied the hard palate and gingiva on her left side. CT scan and MRI scan revealed that the tumor had destroyed her maxillary bone and invaded the infraorbital wall and skin of the cheek. Pathological examination revealed that the tumor was BCAC. The tumor was resected, including the maxillary bone, skin of the cheek and orbital periosteum. After resection, we reconstructed her hard palate using a vascularized iliac flap with internal oblique muscle and reconstructed her cheek skin using a cervicofacial flap. However, the cervicofacial flap became partially necrotic three weeks after operation, so we reconstructed her cheek skin using a median forehead flap.