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1 results

  • Giant basal cell carcinoma of the face: surgical management and challenges for reconstruction

  • A Maimaiti, A Mijiti, A Yarbag, A Moming
  • Journal:
    The Journal of Laryngology & Otology / Volume 130 / Issue 2 / February 2016
    Published online by Cambridge University Press:
    17 December 2015, pp. 176-182
    Print publication:
    February 2016
  • Background:

    Giant basal cell carcinoma, in which the tumour measures 5 cm or greater in diameter, is a very rare skin malignancy that accounts for less than 1 per cent of all basal cell tumours. Very few studies have reported on the incidence, resection and reconstruction of this lesion worldwide.

    Methods:

    In total, 17 patients with giant basal cell carcinoma of the head and neck region underwent surgical excision and reconstruction at our hospital. Medical charts were retrospectively reviewed and analysed.

    Results:

    The lesion was usually in the forehead, eyelid, lips or nasal-cheek region. The greatest diameter ranged from 5 to 11 cm, with 5–6 cm being the most common size at the time of presentation. All patients had their tumour resected and reconstructed in a single-stage procedure, mostly with a local advancement flap, and with no post-operative flap failure.

    Conclusion:

    Giant basal cell carcinoma of the head and neck can be successfully treated with a local flap in a single-stage approach.