CASE REPORT Superficial Spreading Basal Cell Carcinoma of the Face: A Surgical Challenge

Overview

Journal Eplasty

Specialty General Surgery

Date 2010 Jul 3

PMID 20596236

Citations 4

Authors

Yuri T Jadotte

Naver A Sarkissian

Helchem Kadire

W Clark Lambert

Affiliations

Soon will be listed here.

Abstract

Objective: We present the case of a white man with a facial nodule suspicious for basal cell carcinoma.

Methods: Biopsy revealed clusters of basaloid tumor cells with peripheral palisading, consistent with a superficial spreading variant of basal cell carcinoma.

Results: The patient was treated with Mohs micrographic surgery, with clear margins achieved after the second stage of excision. However, since it was a superficial spreading basal cell carcinoma, this was followed by topical imiquimod treatment.

Conclusion: Topical chemotherapy with imiquimod or 5-fluorouracil may be valuable alternatives or adjuncts, given the increased likelihood of recurrence after surgical excision of superficial spreading basal cell carcinoma. Mohs surgery is of limited value in the management of superficial spreading basal cell carcinoma because it characteristically shows areas of uninvolved skin between tumor nests.

Citing Articles

The importance of superficial basal cell carcinoma in a retrospective study of 139 patients who underwent Mohs micrographic surgery in a Brazilian university hospital.

Takata Pontes L, Stelini R, Cintra M, Magalhaes R, Velho P, Moraes A Clinics (Sao Paulo). 2015; 70(11):721-5.

PMID: 26602517 PMC: 4642494. DOI: 10.6061/clinics/2015(11)01.

Superficial large Basal cell carcinoma over face, reconstructed by v-y plasty.

Deshmukh P, Sharma Y, Dogra B, Chaudhari N J Cutan Aesthet Surg. 2014; 7(1):65-6.

PMID: 24761108 PMC: 3996799. DOI: 10.4103/0974-2077.129992.

Pigmented Basal cell carcinoma: a clinical variant, report of two cases.

K D, M M, N Abdu N J Clin Diagn Res. 2014; 7(12):3010-1.

PMID: 24551712 PMC: 3919288. DOI: 10.7860/JCDR/2013/7568.3831.

Large superficial Basal cell carcinoma arising in the scalp.

Jang M, Baek J, Park J, Kang D, Kang J, Suh K Ann Dermatol. 2011; 23 Suppl 1:S96-9.

PMID: 22028585 PMC: 3199435. DOI: 10.5021/ad.2011.23.S1.S96.

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