(Last Updated On: October 30, 2018)

Authors: Cory Wigati, Hilda Brigitta, Airin R Mappewali, Anis Irawan Anwar, Siswanto Wahab, Khairuddin Djawad, Idrianti Idrus

Abstract

Introduction: Basal cell carcinoma (BCC) is the most common skin cancer which is derived from unkeratinized cells in the basal epidermal layer. BCC occurring on the head and neck accounts for 80% of all cases while 30% occurs on the nose. The lesion grows slowly is locally invasive and destructive. The combination of operative therapy and histologic confirmation is the standard approach in the management of BCC. In addition, aesthetic aspect has to be taken account.

Case Summary: We reported three cases with BCC, the lession affected the facial region in all patients and had different clinical features, such as numular, erythema macules in the center of the lesion, plaque hyperpigmentation at the edge, keratotic mass, crusting, and with dermoscopy obtained large gray-blue ovoid nest, multiple blue gray globules, maple leaf like areas, spokewheel area, and short fine telangiectasis. In these patients, all of them treated by excision using micrographic mohs modification techniques, the closure of the defect was done with full thickness skin graft (FTSG).

Conclusion: BCC could happened at any age from childhood, more than three quarters of patients aged over 40 years, often occur in areas exposed to the sun, 80% of cases are located on the face. The best management of BCC is excisional surgery. Various methods of excision include one with full thickness skin grafts (FTSG), under appropriate condition of FTSG may provide an improvement in the lesion area, as long as the recipient has a rich vascular supply that supports the capillaries, and collagen for donor attachment.

 

Citation

 

Keywords

Basal cell carcinoma, Full thickness skin grafts

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