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Posts Tagged ‘Recurrent BCC’

Recurrent BCC of the External Ear After Radiation

HISTORY A 77-year-old man presents with 5-year history of infiltrative basal cell carcinoma (BCC) of the left ear fossa triangularis and root of helix. The area was originally treated with four weeks of radiation in 2014, complicated by temporary ulceration and healing with adhesion. When the area developed crusting a couple of years later, the…

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Lip Reconstruction 4

Patient diagnosed with recurrent Basal cell carcinoma of right lower lip. Mohs excision performed by primary dermatologist. Lip reconstruction performed by Dr. Simon Madorsky at SCARS Center.       

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Left Ear Multiple Recurrent Basal Cell Carcinoma

HISTORY   64-year-old woman presents with recurrence of left ear basal cell carcinoma.  She has a history of sun lamp tanning  and scuba diving with multiple sun burns. Basal cell carcinoma was first removed from left scapha and treated with a skin graft in July 2009. The area subsequently developed crusting and was treated with…

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Recurrent Extensive Basal Cell Carcinoma of Forehead

HISTORY 68-year-old man presented with a recurrent right forehead basal cell carcinoma. The carcinoma was previously treated with Mohs excision in 2002 and 2009. The recurrence appeared initially as superficial and was treated successfully with topical imiquimod. Deep recurrence became evident many months later. Morphology of the basal cell carcinoma was infiltrative with metatypical features.…

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DEEP NECK BASAL CELL CARCINOMA RECURRENCE – FOLLOW UP

Initial resection sparing facial nerve branches Resection of additional positive margins (the submandibular gland and the mandible are visible), second excision of additional margin. HISTORY 63 year old man presented with a 5-year history of a lesion in the left anterior neck. The lesion was diagnosed as basal cell carcinoma and excised in 2012, but it…

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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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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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LEFT NECK METATYPICAL BASAL CELL CARCINOMA

HISTORY 63 year old man presented with a 5-year history of a lesion on the left anterior neck. The lesion was diagnosed as basal cell carcinoma and excised in 2012 , but it recurred three years ago with progressive deep scar growth. The lesion was re-biopsied in 2017 as a metatypical basal cell carcinoma with…

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MAPPING OF BCC WITH CONFOCAL MICROSCOPY

        HISTORY 63 year old woman diagnosed with recurrence of BCC of left upper lip in 2015 after treatment of Efudex and a surgical excision in 2005. Patient had 3 separate BCC locations in left upper lip.  Due to the size and multifocality of the lesion, patient was treated with Erivedge for 7…

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CHEEK BASAL CELL CARCINOMA RECURRENCE

Additional soft tissue margin for permanent histology, additional bone margins for permanent histology, partial reconstruction with inferior nasolabial fold/cheek island flap. HISTORY 83 year old man presented in 12/2016 with a 3 month history of a growing painful subcutaneous nodule at the right cheek nasal junction. A biopsy revealed infiltrative basal cell carcinoma. The nodule…

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