BASAL CELL CARCINOMA IN QUEENSLAND

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Abstract
An analysis is presented of a referred series of 1411 [human] basal cell carcinomas [of the skin] treated by surgical excision and plastic surgical repair in which 259 were recurrent after other previous treatments. Of the 1411 BCC treated there were 10 BCC which recurred (0.7% recurrence rate). A further 10 BCC were primarily re-excised because of inadequate clearance around the tumor found on histological examination (0.7% primary re-excision). The cases recurrent after previous treatment did not behave badly in terms of subsequent recurrence as they were widely excised and carefully observed in the postoperative years. Surgery must aim to be curative. The tumor margin was clearly defined using magnification; an adequate clearance of surrounding normal tissue was marked. This is then excised in width and depth. Repair of the defect is carried out to restore the area to as near normal as possible. Surgical repair is able to bring new tissue into the area to further enable it to withstand the rigors of the climate and not leave behind a premaligant scarred area.