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

Published online by Cambridge University Press:  17 December 2015

A Maimaiti ,
A Mijiti ,
A Yarbag  and
A Moming
A Maimaiti
Affiliation:
Department of Oral and Maxillofacial Surgery, First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, People's Republic of China Stomatological Research Institute of Xinjiang Uyghur Autonomous Region, Urumqi, Xinjiang, People's Republic of China
A Mijiti
Affiliation:
Department of Oral and Maxillofacial Surgery, First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, People's Republic of China Stomatological Research Institute of Xinjiang Uyghur Autonomous Region, Urumqi, Xinjiang, People's Republic of China
A Yarbag
Affiliation:
Marmara Eye Center, Sakarya, Turkey
A Moming*
Affiliation:
Department of Oral and Maxillofacial Surgery, First Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, People's Republic of China Stomatological Research Institute of Xinjiang Uyghur Autonomous Region, Urumqi, Xinjiang, People's Republic of China
*
Address for correspondence: Dr Adili Moming, Department of Oral and Maxillofacial Surgery, First Affiliated Hospital Xinjiang Medical University, No. 137 South Li Yu-Shan Road, New City District, 830054 Urumqi, Xinjiang Uyghur Autonomous Region, PR China E-mail: [email protected]
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Abstract

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.

Keywords

Basal Cell CarcinomaFacial NeoplasmsDermatologic SurgeryReconstructive Surgical Procedures
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 2 , February 2016 , pp. 176 - 182
Copyright
Copyright © JLO (1984) Limited 2015 

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