Serial excision of a large facial skin cancer.

Abstract

BACKGROUND:

In the management of large facial neoplasms, the dermatologic surgeon must consider local factors affecting the success of closures.

OBJECTIVE:

Large facial neoplasms can be removed serially with Mohs micrographic surgery. Serial excision facilitates recruitment of adjacent normal skin for replacement of lesional skin, minimizing the risks of necrosis.

METHODS:

A large morpheaform basal cell carcinoma was excised serially. The initial defect was closed with an O to L advancement flap. The final excision and repair 2 months later consisted of a combination of primary closure with marsupialization and pursestring closure. A full-thickness skin graft was used to close the final defect.

RESULTS:

The patient had optimal cosmesis at 2-year follow-up.

CONCLUSION:

Large facial neoplasms can be excised serially. This technique, performed in the setting of Mohs micrographic surgery, takes advantage of "mechanical and biologic creep," resulting in excellent cosmesis and function.

• Authors: C F Schanbacher, H W Randle
• Journal: Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] (Dermatol Surg) Vol. 26 Issue 4 Pg. 381-3 (Apr 2000) ISSN: 1076-0512 [Print] United States
• PMID: 10759829 (Publication Type: Case Reports, Journal Article)

Topics

• Aged
• Carcinoma, Basal Cell (pathology, surgery)
• Facial Neoplasms (pathology, surgery)
• Female
• Humans
• Mohs Surgery
• Skin Neoplasms (pathology, surgery)
• Surgical Flaps