Basal Cell Carcinoma Treated by Excision and Skin Flap with Histopathology Result Still Have Tumour Cell on the Bottom

Abstract

Basal cell carcinoma is a malignancy originated from basal layer of the epidermis which invade and destroy substantial tissue locally and is the most common cancer in human. BCC occurs mostly in sun exposed areas ultraviolet light has shown a major role in the pathogeneses of BCC. 83 years old lady, brought for unhealed wound on her left cheek. It started like a blackish mole around 2 years ago, it then growing into surrounding areas and bleeds easily. First, we started with conservative treatment, after around two weeks surgeon decides to do surgical excision of the lesion. Although histopathological results shown bottom sites still have tumour cell, but after the surgery, patient’s wound shown to improve. Mohs Micrographic Surgery is the gold standard procedure for skin cancer, followed by standard wide excision of lesion. In this case wide excision and skin flap under local anaesthesia with lidocaine plus epinephrine had been chosen, regarding her general condition which causing an intolerably to undergo general anaesthesia. Although bottom sites still have tumour cell. After the surgery, patient’s wound shown to improve. Recurrence is quite common in BCC case, which is why routine check-up is advisable.