Firdous Khan, Mohammad Tahir, Asif Shah.
Presentation and outcome of basal cell carcinoma of the face at a tertiary care hospital: A review of 210 cases.
Pak J Surg Jan ;29(3):190-4.

Objective: To describe the presentation and outcome of Basal Cell Carcinoma (BCC) of the face in our set up. Study Design: Descriptive study. Place and Duration: Department of Plastic & Reconstructive Surgery, Hayatabad Medical Complex (HMC), Peshawar from Mar 2007 to Dec 2010. Materials and Methods: All patients with clinically suspected or biopsies proven BCC of the face were included by convenience sampling technique. Patients with recurrent BCC and those who did not consent to participate in the study were excluded. Assessment was made by detailed history and clinical examination. Diagnosis was confi rmed by excisional biopsy for lesion less than 2 cm and incisional biopsy for lesion more than 2 cm in diameter. Local extent of tumor was assessed with CT scan in selected patients. Clinical type of BCC, site and size of the tumor, type of surgical procedures undertaken and complications encountered were all recorded on a proforma. Results: Out of a total of 210 patients, 61.4% were males while 38.6 % were females. Age range was 15 to 75 years with mean age of 52 years. Th ere were 143 cases of nodular ulcerative BCC, 35 cases of pigmented BCC, 21 cases of morpheaform and 11 cases of superfi cial spreading BCC. Nose was the most frequent site of involvement 26.7%, followed by cheek 17.7%, medial canthus 16.7%, lower eyelid 13%, pre-auricular area 11.9%, upper lip 6.2% and post-auricular area 5%. Residual and Recurrent tumors were found in 7% and 4.3% cases respectively. Conclusion: In our set up, BCC of the nose constitutes the leading type followed by cheek and eyelid areas. Th e frozen section and Mohs micrographic surgery can be very helpful in diagnosing and commenting upon the clearance of excision margins.

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