Use of a perimeter technique with Mohs micrographic surgery in the resection of a giant basal cell carcinoma.

Abstract:

BACKGROUND:Giant basal cell carcinomas (GBCC) can demonstrate very malignant behavior and pose a surgical challenge. OBJECTIVE:To present a surgical technique utilizing Mohs and the resection of narrow bands of tissue to excise a GBCC that created a large facial defect of 5 cm × 2 cm. METHODS:A unique combination of Mohs micrographic surgery and the recently described perimeter techniques used for lentigo maligna were used to resect the tumor. RESULTS:This hybrid technique was tissue sparing and therefore helped prevent the complications associated with a larger resection and allowed for an easier reconstruction. At 2 months post resection the patient had no known metastasis or tumor recurrence. CONCLUSION:This case highlights the importance of early recognition of basal cell carcinoma and the complications that can arise when lesions are left untreated for a long duration. Also, we describe a surgical technique that could help reduce the complications associated with these large tumors.

journal_name

J Cutan Med Surg

authors

Nolan K,Henry M,Shohet M,Elahi E,Marmur E

doi

10.1177/120347541201600623

subject

Has Abstract

pub_date

2012-11-01 00:00:00

pages

465-8

issue

6

eissn

1203-4754

issn

1615-7109

journal_volume

16

pub_type

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