Significance of Marginal Extension in Excised Basal-Cell Carcinoma

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Abstract
DEFINITIVE surgical excision of basal-cell carcinoma of the skin is generally successful and results in complete removal of the lesion and subsequent cure.1 Occasionally, the histopathological report indicates that the tumor extends to the margin of the specimen and, hence, signals presumably incomplete excision of the cancer.2 Such a report usually prompts consideration of immediate surgery or radiation to eradicate residual disease. However, it has been uncertain whether viable residual tumor with a potential for recurrent growth is really present.To investigate the significance of the marginal extension of excised basal-cell carcinomas, a conservative approach was instituted of deferring additional . . .

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