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Curettage and electrodesiccation in the treatment of midfacial basal cell epithelioma.

Abstract
In this study the nose and nasolabial folds are identified as high-risk areas for recurrence of basal cell epithelioma (BCE) following curettage and electrodesiccation (C and D). Following adequate C and D, 30% of lesions in these areas were found to contain residual tumor, compared to only 12% of lesions located elsewhere on the head and neck. Local anatomic determinants of the midface region, which include embryologic fusion planes, close-set rigid sebaceous follicles, and origin of tumor from the outer root sheath of the pilosebaceous unit, may conspire to exceed the inherent limitations of the C and D procedure and clarify the high recurrence rates in this area.
AuthorsS J Salasche
JournalJournal of the American Academy of Dermatology (J Am Acad Dermatol) Vol. 8 Issue 4 Pg. 496-503 (Apr 1983) ISSN: 0190-9622 [Print] United States
PMID6853782 (Publication Type: Journal Article)
Topics
  • Adult
  • Aged
  • Carcinoma, Basal Cell (pathology, surgery)
  • Curettage (methods)
  • Electrosurgery (methods)
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neoplasm Recurrence, Local (prevention & control)
  • Nose Neoplasms (pathology, surgery)

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