Tuesday, January 31, 2006

Difficult BCC

On January 30, 2006, this 49 yo woman presented with a somewhat sclerotic plaque on the blub of the nose. By history, this has been present for 1.5 years. A 2 mm punch biopsy was taken at the site marked X.



If this turns out to be BCC, I will refer for micrographic surgery. Does anyone feel radiotherapy is appropriate for a patient of this age?

First Biopsy showed no evedence of BCC or malignancy. Repeat biopsy taken. Here is another clinical photo:

2 comments:

  1. Clinically, morpheaform BCC is most likely. At our centre, Mohs surgery would be the standard of care for this patient if the biopsy confirms this. There are at least 3 independent indications for Mohs: histology, location, size (appears > 2 cm). We use radiotherapy mostly as a palliative modality.
    Thanks for posting,
    Anatoli

    ReplyDelete
  2. If histology turns out to be a BCC, I would refer to a dermatologic surgeon for Mohs Surgery. Tom Rohrer MD (Chestnut Hill)is a great guy in Mohs Surgery.

    Henry

    ReplyDelete

We welcome your comments. We endeavor to serve your patients and you. If you want us to respond, please add your name and email address. Some people have trouble uploading comments. In that case, please send comments directly to djelpern@gmail.com. Thank you.