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J Cutan Med Surg. 2012 Nov-Dec;16(6):465-8.

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

Author information

1
Department of Dermatology, Mount Sinai School of Medicine, New York, NY, USA.

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.

PMID:
23149210
DOI:
10.1177/120347541201600623
[Indexed for MEDLINE]

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