Document Detail

Small margin excision of periocular basal cell carcinoma: 5 year results.
MedLine Citation:
PMID:  14977769     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The traditional surgical management of nodular adnexal basal cell carcinomas (BCC) involves excision with 3-4 mm margins and primary repair. This may remove a significant area of healthy tissue, often necessitating a complicated reconstruction, without the confirmation that tumour excision is complete. METHODS: Nodular adnexal BCCs were excised with 2 mm margins, and the repair delayed for 2 days, providing time for histological confirmation of complete excision with formal paraffin sections. Any incompletely excised tumours underwent further resection, which was facilitated by the undisturbed wound edges. Repair was again delayed until further histological examination had confirmed complete excision. RESULTS: 5 year follow up data were available for 55 patients who had undergone small margin BCC excision with delayed repair. 10 patients required more than one excision to achieve clear margins. There were no recurrences. CONCLUSION: Small margin excision of nodular adnexal BCCs with delayed repair is a safe and efficient method. Delayed repair allows histological confirmation of complete excision and assists further resection if required. Preservation of healthy tissue is maximised allowing less radical reconstructive surgery without resorting to Mohs' labour intensive technique.
J D Hsuan; R A Harrad; M J Potts; C Collins
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The British journal of ophthalmology     Volume:  88     ISSN:  0007-1161     ISO Abbreviation:  Br J Ophthalmol     Publication Date:  2004 Mar 
Date Detail:
Created Date:  2004-02-23     Completed Date:  2004-03-30     Revised Date:  2010-09-20    
Medline Journal Info:
Nlm Unique ID:  0421041     Medline TA:  Br J Ophthalmol     Country:  England    
Other Details:
Languages:  eng     Pagination:  358-60     Citation Subset:  IM    
Bristol Eye Hospital, Lower Maudlin Street, Bristol BS1 2LX, UK.
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MeSH Terms
Aged, 80 and over
Carcinoma, Basal Cell / surgery*
Eyelid Neoplasms / surgery*
Facial Neoplasms / surgery
Follow-Up Studies
Middle Aged
Treatment Outcome
Comment In:
Br J Ophthalmol. 2004 Sep;88(9):1228   [PMID:  15317726 ]
Erratum In:
Br J Ophthalmol. 2004 Sep;88(9):1228

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