Baik Bongsoo, Park Sulki, Ji Soyoung, Kim Sunyoung
Department of Plastic and Reconstructive Surgery, Dongkang Medical Center, Ulsan, Korea.
Department of Pathology, Dongkang Medical Center, Ulsan, Korea.
Arch Craniofac Surg. 2021 Jun;22(3):173-176. doi: 10.7181/acfs.2021.00178. Epub 2021 Jun 25.
Basal cell carcinoma is a malignant epithelial neoplasm of the skin and the most common human skin cancer. It is generally associated with a good prognosis. In this case report, a giant basal cell carcinoma of the nodulo-ulcerative type showing wide ulceration with marginal multiple small nodules, is presented. It was trapezoidal in shape, having dimensions of 7 cm at the greatest basal width, 6 cm vertically with different anterior and posterior margin dimensions, and 5 cm horizontally at the top margin. After wide excision of the lesion including 5-10 mm safety margins, the wound was reconstructed with a local skin flap and split-thickness skin graft. The reconstructed wound healed well without recurrence for 1 year.
基底细胞癌是一种皮肤恶性上皮性肿瘤，也是人类最常见的皮肤癌。其预后通常较好。在本病例报告中，呈现了一例结节溃疡型巨大基底细胞癌，表现为广泛溃疡，边缘有多个小结节。它呈梯形，最大基底宽度为7厘米，垂直方向为6厘米，前后边缘尺寸不同，顶部边缘水平方向为5厘米。在广泛切除病变并包括5 - 10毫米的安全切缘后，用局部皮瓣和中厚皮片移植修复伤口。修复后的伤口愈合良好，1年内无复发。
