Repair of Surgical Wounds After Basal Cell Carcinoma Removal.
- Author:
Sang Eun MOON
;
Kwang Hyun CHO
;
Hee Chul EUN
;
Jai Il YOUN
;
Jeong Aee KIM
;
Jae Hak YOO
- Publication Type:Original Article
- Keywords:
Basal cell carcinoma;
Repair;
Flap surgery
- MeSH:
Carcinoma, Basal Cell*;
Diagnosis;
Education;
Female;
Head;
Humans;
Incidence;
Male;
Medical Records;
Neck;
Seoul;
Skin;
Transplants;
Wounds and Injuries*
- From:Korean Journal of Dermatology
1998;36(6):1043-1050
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Basal cell carcinoma(BCC) is the commonest type of skin malignacy, and its incidence is increasing. As a result, the number of cases requiring treatment by dermatologists may also be increasing. OBJECTIVE: The aim of this study was to clarify the presentation pattern of BCC and to assessce the surgical treatment used in the dermatological surgery clinics in Seoul National University Hospital and Seoul City Boramae Hosptial between 1994 to 1998. METHOD: We reviewed the medical records and checked clinical aspects and surgical treatment methods. RESULTS: The Total number of patients was 33. There were 21 Females and 12 males. The Mean age was 63.1. The most common anatomical site was the face and scalp(30 cases, 91%). The mean size of the tumor was 12.2 by 9.6 mm. BCCs were removed by complete surgical excision with a normal skin margin of 2 to 4 mm. The local flap was most commonly used to repair surgical wounds (55%) and primary closure was used in 39% of patients. A Pedicle flap and full thickness skin graft were also used in surgical defect reconstruction. CONCLUSION: With increasing public awareness and earlier presentation there may be a reduction in tumor size at the time of diagnosis. As most BCCs are found on the head and neck and are usually more or less than 1cm in diameter, it is thought that appropriate education of surgical skills should be needed and offered.
