Big Bad BCCs: Craniofacial resection and reconstruction for atypical basal cell carcinomata

Summary Basal cell carcinoma (BCC) is the most common malignancy of the body and most frequently occurs in the head and neck. ‘Problematic aggressive’ BCCs are either frequently recurrent, often after histologically confirmed clearance, or are ‘giant/horrifying’ and invasive of critical anatomy. Thr...

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Bibliographic Details
Published in:Journal of plastic, reconstructive & aesthetic surgery reconstructive & aesthetic surgery, 2010-05, Vol.63 (5), p.e433-e441
Main Authors: Fattah, Adel, Pollock, Jonathan, Maheshwar, A, Britto, Jonathan A
Format: Article
Language:English
Subjects:
Aged
Basal cell carcinoma
BCC
Biopsy
Bone Neoplasms - diagnostic imaging
Bone Neoplasms - pathology
Bone Neoplasms - surgery
Carcinoma, Basal Cell - diagnostic imaging
Carcinoma, Basal Cell - pathology
Carcinoma, Basal Cell - surgery
Craniofacial
Face - surgery
Female
Follow-Up Studies
Head and Neck Neoplasms - diagnostic imaging
Head and Neck Neoplasms - pathology
Head and Neck Neoplasms - surgery
Humans
Magnetic Resonance Imaging
Male
Metastasis
Microsurgery
Microsurgery - methods
Middle Aged
Neoplasm Invasiveness - pathology
Plastic Surgery
Reconstructive Surgical Procedures - methods
Scalp
Skin Neoplasms - diagnostic imaging
Skin Neoplasms - pathology
Skin Neoplasms - surgery
Skull - surgery
Surgical Flaps
Tomography, X-Ray Computed
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Summary:Summary Basal cell carcinoma (BCC) is the most common malignancy of the body and most frequently occurs in the head and neck. ‘Problematic aggressive’ BCCs are either frequently recurrent, often after histologically confirmed clearance, or are ‘giant/horrifying’ and invasive of critical anatomy. Three patients that illustrate different clinical features and outcomes of ‘problematic aggressive’ craniofacial BCCs are reported that required craniofacial resection and reconstruction with microsurgical free flap cover, and a re-evaluation of our care pathway for these uncommon presentations.
ISSN:1748-6815
1878-0539
DOI:10.1016/j.bjps.2009.09.004