Document Detail

Use of a Perimeter Technique with Mohs Micrographic Surgery in the Resection of a Giant Basal Cell Carcinoma.
MedLine Citation:
PMID:  23149210     Owner:  NLM     Status:  Publisher    
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.
Katherine Nolan; Michelle Henry; Michael Shohet; Ebrahim Elahi; Ellen Marmur
Publication Detail:
Journal Detail:
Title:  Journal of cutaneous medicine and surgery     Volume:  16     ISSN:  1203-4754     ISO Abbreviation:  J Cutan Med Surg     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-11-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9614685     Medline TA:  J Cutan Med Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  465-468     Citation Subset:  -    
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