A Rare Case of Skin Cancer above a Subcutaneously Implanted Pacemaker: Implications for Future Implants
DOI:
https://doi.org/10.1532/HSF98.20071211Abstract
Background. The occurrence of a skin neoplasm close to the position of an implanted pacemaker or cardioverter-defibrillator device is not very common.
Case Report. We report on an 82-year-old patient who developed a basal cell carcinoma in the skin directly above a subcutaneously implanted pacemaker generator. The patient presented with a history of recurrent basalioma at various locations. The pacemaker (Kappa KDR 731; Medtronic) was implanted 17 months before and represented a series that was recalled because of problems occurring after submuscular implantation.
Conclusion. Primary submuscular implantation of pacemaker devices should be carefully considered in elderly patients with a history of previous skin tumors.
References
Carpentier O, Dubost-Brama A, Martin De Lassalle E, Piette F, Delaporte E. 2000. Rhabdomyosarcoma at site of pacemaker implantation [in French]. Ann Dermatol Venereol 127:837-40.nDerHagopian RP, Sugarbaker EV, Ketcham A. 1978. Inflammatory oncotaxis. JAMA 240:374-5.nKnez I, Cerwenka H, Moinfar F, et al. 1999. Invasive ductal carcinoma of the male breast expanding from pacemaker pocket decubitus. Pacing Clin Electrophysiol 22:531-3.nMagilligan DJ Jr, Isshak G. 1980. Carcinoma of the breast in a pacemaker pocket: simple recurrence or oncotaxis? Pacing Clin Electrophysiol 3:220-3.nRothenberger-Janzen K, Flueckiger A, Bigler R. 1998. Carcinoma of the breast and pacemaker generators. Pacing Clin Electrophysiol 21:769-71.nScrivener Y, Grosshans E, Cribier B. 2002. Variations of basal cell carcinomas according to gender, age, location and histopathological subtype. Br J Dermatol 147:41-7.nWollenberg A, Peter RU, Przybilla B. 1995. Multiple superficial basal cell carcinomas (basalomatosis) following cobalt irradiation. Br J Dermatol 133:644-6.n