Material and Methods: A total of fifty one (n=51) patients between age 35-75 years with high clinical suspicion of basal cell carcinoma of any size or histology on aesthetically important areas who were planned for surgical excision
were enrolled in the study.
In this study, we review our experience with isolated ALH on breast needle biopsy to establish the rate of upgrade on excision
, when using careful radiologic-pathologic correlation, in a large group of patients with long-term follow-up.
Practitioners who manage a high volume of lower genital tract disease and take care to minimize tissue excision
and destruction at the time of treatment are likely those whose patients have the best obstetric outcomes following treatment for CIN.
Summary of clinical course and interventions Year Presentation + intervention 1987 Primary excision
1989 Lesion recurred, re-excised 1990 Painful scar, wide local excision
1990 Two further excisions
+ skin grafts + radiotherapy 1991 Lesion recurred, 2 further excisions
+ skin grafts 2008 Ulceration, incision biopsy and subsequent further excisions
and radial forearm free flap
For scars greater than 3 mm, or scars with cutaneous bridges or persistent cysts and tunnels, he recommended elliptical excision
. For scars less than 3 mm, and ice pick or deep boxcar scars, he suggested punch excision
We currently employ a combined approach, using the C[O.sub.2] laser for excision
, followed by serial postoperative steroid injections.
Maple noted significant modifications to vulvar excision
Electrosurgical loop excision
of the cervical transformation zone (ELECTZ) is an excisional surgical procedure for treatment of premalignant cervical disease and the abnormal transformation zone by wire loop elesctrodes.
The children were alive and had not been diagnosed with melanoma at a mean follow-up of a mean of 8.4 years (range, 7 months to 21.3 years), even though margins of the last excision
were positive in 41% of all CMN and in 77% of large CMN.
She was treated with carbon dioxide laser excision
. Approximately 6 weeks postoperatively, the patient returned with complaints of progressive hoarseness.
(1-8) Although not extensively documented, several studies (9-11) have shown that between 16% and 19% of patients with a diagnosis of ductal carcinoma in situ (DCIS) alone on core needle biopsy will have invasion in the subsequent excision
. This rate may be reduced by extensive sampling at the time of biopsy.
The 48 cases included 19 skin grafts (figure 2), 14 primary closures, 10 skin flaps (figure 3), three wedge excisions
(figure 4), and two wounds healed by secondary intention.