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Aggressive Basal Cell Carcinoma in the Nasal Region
Author(s) -
Motomura Hisashi,
Taniguchi Toshiko,
Harada Teruichi,
Muraoka Michinari,
Ishii Masamitsu
Publication year - 2005
Publication title -
the journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.9
H-Index - 65
eISSN - 1346-8138
pISSN - 0385-2407
DOI - 10.1111/j.1346-8138.2005.tb00773.x
Subject(s) - basal cell carcinoma , magnetic resonance imaging , medicine , cartilage , computed tomography , basal (medicine) , nose , nasal cartilages , pathology , radiology , basal cell , anatomy , rhinoplasty , insulin , endocrinology
It is extremely rare for basal cell carcinoma (BCC) to metastasize, so it is often only simply excised. However, BCC may cause severe local tissue destruction, which often extends to surrounding muscle, cartilage, and bone; it is then termed “aggressive” BCC. We evaluated the safety margin and the reconstruction method in four cases of nasal BCC that were diagnosed as aggressive BCC histopathologically or by imaging, including magnetic resonance imaging (MRI) and computerized tomography (CT) and then treated by excision. The results showed that the larger the aggressive BCC was, the smaller the histopathological safety margins became. The lateral nasal region was classified into three regions, and individual reconstruction was performed according to anatomical unit, resulting in favorable outcomes. Nasal BCC should be closely examinated, it requires a careful treatment strategy similar to that for other malignant skin tumors.