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Type: Journal article
Title: Linear basal cell carcinoma: A distinct clinical entity
Author: Mavrikakis, I.
Malhotra, R.
Selva-Nayagam, D.
Huilgol, S.
Citation: Journal of Plastic, Reconstructive and Aesthetic Surgery, 2006; 59(4):419-423
Publisher: Print Edition - Churchill Livingstone
Issue Date: 2006
ISSN: 1748-6815
Statement of
I. Mavrikakis, R. Malhotra, D. Selva, S.C. Huilgol and R. Barlow
Abstract: The purpose of the study is to describe linear basal cell carcinoma (BCC) as a distinct clinical entity, and highlight its existence to the plastic surgery literature. A Medline and PubMed literature search was conducted, and 33 reported cases of linear BCC were analysed. Of these 33 cases, the most common site for linear BCC was the periocular region, accounting for 49% (n=16). The most common histologic subtype, was nodular BCC, accounting for 50% (n=17). Of the 33 reported cases the postoperative defect size was mentioned in five cases only. None of these would have been completely excised if a 2 mm margin was applied, and only one out of five if a 4 mm margin was applied. Linear BCC is a distinct clinical entity. Presence of the tumour along relaxing skin tension lines, increase in subclinical extension, and aggressive tumour behavior are reported observations. Because of these observations it is suggested that margin-controlled excision should be considered for linear BCC.
Keywords: basal cell carcinoma
margin controlled excision
Mohs micrographic surgery
periocular region
Description: Copyright © 2005 The British Association of Plastic Surgeons Published by Elsevier Ltd
DOI: 10.1016/j.bjps.2005.09.039
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