DEMOGRAPHICS OF BASAL CELL CARCINOMA AND ITS SURGICAL MANAGEMENT
AbstractBackground: Basal cell carcinoma (BCC) is the most common, slow growing epidermal skin tumourand an increase in its incidence has been noticed in the past decades. Different treatment optionsinclude surgical and non-surgical measures. Surgical options include surgical excision, cryosurgery,curettage, electrodessication and Mohs micrographic surgery. Non-surgical treatments options are 5-flourouracil, photodynamic therapy, immunomodulation and radiotherapy. This study was conducted todetermine the demographics of facial BCC and its rate of incomplete excision and recurrence.Methods: Clinically diagnosed facial BCCs were included in this prospective descriptive study.Tumours were excised with 3–5 mm clinically palpable safe margins and were sent forhistopathological confirmation and margin clearance. All patients were followed for a minimum of twoyears to look for any recurrence. The demographic data, site, clinical presentation, size of the lesion,excision margins, reconstructive options, complications, histopathological margin clearance andrecurrence was recorded and analysed. Results: A total of 139 cases were recruited in this study. Fourcases were lost in follow-up. Out of remaining 135 patients including 78 males and 57 females with amean age of 58.6 years were studied. The commonest site of involvement was nose (45.9%), followedby periocular (28.1%) and cheek (15.6%) regions. The most common clinical type was nodular (51%)followed by ulcerative (38.5%). In majority of the cases, the resulting defect after excision wasreconstructed with local flaps (57.8%). Majority (77.8%) of tumours had histopathologically clearmargins while 20% had tumour involvement. During 2 years follow-up period, 8.9% patients hadtumour recurrence.Keywords: Basal cell carcinoma, excision, recurrence, tumour
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