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Basal Cell Carcinoma

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Pigmented BCC of Left Neck

HISTORY 81-year-old man presents with pigmented lesion on left neck. The lesion was excised with 2 mm margins. BCC was found with clear margins. DISCUSSION Pigmented basal cell carcinoma is an uncommon variant of the common skin cancer. Its behavior is that of a non-pigmented basal cell carcinoma. It can be confused with melanoma and…

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Shave excision of Lower Extremity Carcinomas

HISTORY 67-year-old woman presents with 3 BCCs on right lower extremity diagnosed on shave biopsies.  Superficial shave excisions of the carcinomas left close margins within 0.1 mm. Second set of shave excisions found no residual carcinoma.     DISCUSSION Lower leg skin carcinomas are often superficial and can be treated with superficial treatments. This patient’s…

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Lower Leg Wound Treatment At Scars Center

Lower Leg Wound Dehiscence

HISTORY 74-year-old man presents with BCC of left lower leg treated with Mohs excision and closure on 2-27-18. Patient presented 5 days post closure with wound dehiscence. Cutimed wound sponge dressing was used for wound management.  Debridement was performed 3-16-18. Plan is for closure with matrix xenograft.       DISCUSSION Lower leg wound dehiscence…

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BCC Left Upper Lip

HISTORY 87-year-old man presents with 1 year history of lesion on left upper lip.  Biopsy taken 11-16-2017 and pathology showed basal cell carcinoma. Mohs excision and reconstruction were performed on 1-19-18. Mohs slide histology was presented for review. A question of appearance of perineural invasion was discussed.       DISCUSSION   The Mohs slides…

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Large BCC of Thigh

HISTORY   92-year-old man presents with 15 year history of basal cell carcinoma on left thigh. The cancer is now a 9.3 cm x 8.6 cm superficial plaque with a few ulcerations.  Patient is being evaluated for treatment with superficial radiation therapy.       DISCUSSION   Large  superficial basal cell carcinomas of the skin…

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Scalp Reconstruction 2

Patient diagnosed with nodular and micronodular Basal Cell Carcinoma of left forehead. Mohs surgery performed by Dr. Gregory Bartlow. Forehead/scalp reconstruction performed by Dr. Simon Madorsky at SCARS Center.   

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Nose Reconstruction 7

Patient diagnosed with Basal cell carcinoma of left nose and cheek. Mohs surgery performed by primary dermatologist. Nose reconstruction performed by Dr. Simon Madorksy at SCARS Center.                

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Nose Reconstruction 6

Patient diagnosed with Basal cell carcinoma of the skin of the tip of nose. Mohs surgery performed by primary dermatologist. Nose reconstruction performed by Dr. Simon Madorsky at SCARS Center.  

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Nose Reconstruction 5

Patient diagnosed with Basal cell carcinoma of left nose. Mohs surgery performed by Dr. Matthew Goodman at SCARS Center. Nose Reconstruction performed by Dr. Simon Madorsky at SCARS Center.  

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Nose Reconstruction 4

Patient diagnosed with Basal cell carcinoma of left bridge of nose. Mohs surgery performed by Dr. Matthew Goodman at SCARS Center. Nose reconstruction performed by Dr. Simon Madorsky at SCARS Center.      

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