163 BASAL CELL CARCINOMA SECTION 12 SKIN CANCER

More documents

Recommendations

Info

MHBD125-163[704-711].qxd 8/15/08 11:39 AM Page 709BASAL CELL CARCINOMAPART 13DERMATOLOGY709FIGURE 163-13 BCC in the nasal alar groove. There is a high riskof recurrence at this site so Mohs surgery is indicated for removal.(Courtesy of Richard P. Usatine, MD.)FIGURE 163-15 Very large ulcerating BCC on the neck of a 65-yearoldwhite man, which has been growing there for 6 years. It wasexcised in the operating room with a large flap from his chest used toclose the big defect. (Courtesy of Richard P. Usatine, MD.)FIGURE 163-14 Large advanced BCC with ulcerations and bloodycrusting infiltrating the upper lip. The patient was referred for Mohssurgery. (Courtesy of Richard P. Usatine, MD.)
MHBD125-163[704-711].qxd 8/15/08 11:40 AM Page 710PART 13710 CHAPTER 163DERMATOLOGYAABBFIGURE 163-17 (A) Large nodular BCC on the cheek of a 52-year-oldman. There is a loss of normal pore pattern, pearly appearance, telangiectasias,and some areas of dark pigmentation. (B) Dermoscopy of theprevious nodular BCC. There are visible arborizing “tree-like” telangiectasias,ulcerations, shiny white areas and blue-grey globules all consistentwith a BCC. (Courtesy of Richard P. Usatine, MD.)CFIGURE 163-16 (A) Sclerosing BCC in an elderly man. The size of theBCC did not appear large by clinical examination. (B) Mohs surgery of thesame sclerosing BCC. This took four shave excisions to get clean margins.Usual 4- to 5-mm margins with an elliptical excision would not have removedthe full tumor. (C) Repair by Mohs surgery to close the large defect.The cure rate should be close to 99%. (Courtesy of Ryan O’Quinn, MD.)FIGURE 163-18 Pearly dome-shaped intradermal nevus near the nosewith telangiectasias closely resembling a BCC. A shave biopsy provedthat this was an intradermal nevus. (Courtesy of Richard P. Usatine,MD.)
Page 1 and 2: MHBD125-163[704-711].qxd 8/15/08 11
Page 3 and 4: MHBD125-163[704-711].qxd 8/15/08 11
Page 5: MHBD125-163[704-711].qxd 8/15/08 11

163 BASAL CELL CARCINOMA SECTION 12 SKIN CANCER

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?