Posts by Simon Madorsky, MD
STAGING OF RECURRENT EXTENSIVE BASAL CELL CARCINOMA OF THE FOREHEAD
HISTORY This 68-year-old man presented with a recurrent extensive right forehead basal cell carcinoma eight years after previous Mohs excision. The lesion itself is palpable as it extends for approximately 5 cm. The extent appears to be subcutaneous for approximately 1.5 cm past a visible plaque. The histopathology shows this to be a nodular type…
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FIELD CANCERIZATION WITH BASAL CELL CARCINOMA
2012 Radiation Simulation Persistent cheek recurrence of BCC at edge of flap recent CT showing resected right temporal bone with overlying flap and evidence of deep tumor HISTORY This 69-year-old man presented with greater than 25-year history of multiple basal cell carcinomas of the face and neck. His most problematic cancer has been in the…
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LOWER LID CARCINOMA
HISTORY This 84 year old man was initially seen with a large left facial lesion. Biopsy diagnosed basal cell carcinoma in 3 locations of biopsy. The patient was reluctant to undergo a surgical excision and reconstruction. Vismodegib (Erivedge) was used as primary treatment. Patient completed a 4 month course of 150mg daily vismodegib dose. He…
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CHEEK NODULE
HISTORY 57 year old woman presented with a 6 month history of a dense nodule in the subcutaneous malar cheek. Biopsy on 3/31/2017 revealed a foreign body reaction granuloma with polarizable foreign body. Kenalog injection of the mass was performed a few months before without improvement. There is no history of Sculptra or other fillers…
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ALAR ISLAND FLAP
Discussion This month’s reconstructive case series addresses a small alar island flap for reconstruction of smaller defects of the ala. The alar island flap is based on lateral nasal artery and alar artery arising from the angular artery of the face. Wide release of the flap is necessary both in subcutaneous plane and in submuscular plane separating if…
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MEDIAL CANTHUS BASAL CELL CARCINOMA FOLLOW UP
HISTORY 91 year old man presented with a recurrent right medial canthus BCC that was previously treated with 45 days of radiation (SRT at Hoag Hospital). Biopsy showed infiltrative sclerosing basal cell carcinoma with focal perineural invasion. MRI in December of 2016 showed the mass was fixed on the lamina papyracea adjacent to the medial…
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EYEBROW AND FOREHEAD SQUAMOUS CELL CARCINOMA
HISTORY 104 year old man presented in 2/2017 with basal cell carcinoma of the left frontal scalp and basosquamous carcinoma of the left eyebrow. On 3/21/2017 the patient underwent a wide local excision and Mohs margin excision of orbit and forehead. At the time he also had Mohs excision of the scalp forehead basal cell…
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BASOSQUAMOUS CARCINOMA INVADING PAROTID GLAND
SMAS Fasciocutaneous Island flap used to reconstruct the parotid and facial defect. HISTORY 79 year old man presented in 3/2017 with basal cell carcinoma of the right ear involving the parotid and the tragal cartilage. 3 levels of Mohs were done without clear margins. Mapping biopsies were performed on 3/20/17 showing metatypical basal cell carcinoma…
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BASOSQUAMOUS CELL CARCINOMA INVADING DEEP PAROTID
HISTORY 79 year old man presented in 3/2017 with basal cell carcinoma of the left tragus, involving the parotid and the tragal cartilage. 3 levels of Mohs were done with positive deep margins. Mapping biopsies were performed on 3/20/17. DISCUSSION This is the case of 79-year-old man, who presented with deeply invasive basosquamous cell carcinoma of…
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SQUAMOUS CELL CARCINOMA OF FOREHEAD WITH PERINEURAL INVASION
HISTORY This 81 year old man presented with invasive squamous cell carcinoma with perineural invasion of the left forehead and scalp. Mohs was performed on 2/21/2017. Additional wide margin resection was performed on 2/27/17. It was negative for residual squamous cell carcinoma. DISCUSSION This 81-year-old man presented with invasive squamous cell carcinoma with perineural invasion…
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