Nisar Ahmed Mangi, Naqeebullah, Mohibullah Khan Ghilzai, Nasir Zaman Khan.
Complete excision of basal cell carcinoma of head and neck region in absence of frozen section technique: Evaluation of success rate by histopathology.
Pak J Surg Jan ;29(2):101-4.

Objective: To evaluate the success rate by histopathology in complete excision of basal cell carcinoma of head and neck surgery. Study design: Descriptive study. Place and duration of study: Department of Plastic and Reconstructive Surgery, Jinnah Post-graduate Medical Centre, Karachi for a period of one year 2008 to 2009. Methodology: Fifty cases were selected. The age of the patient was between 30 to 90 years. There were 18 (36%) patients in age group of 30 to 50 years, 28 (56%) patients in 51 to 70 years of age group. There were only 04 (08%) patients in age group of 71 to 90 years. According to the analysis of gender study of population, there were 28 (56%) male patients and 22 (44%) female patients, 22 male and 10 female patients were farmers. Nineteen male and 09 female were construction workers and rest were households. On site of lesion analysis of site of the lesion we observed that 15 (50%) had the lesion on forehead followed by 13 (26%) had the lesion at the nose and 09 (18%) patiets had lesion at the scalp. On analysis of the size of the lesion we observed that 07 (14%) had lesion less than 01cm of size, 11 (22%) had lesion of 01 cm size and 32 (64%) patients had lesion of 01cm to 02cm, 9 (18%) patients had lesion at the scalp. On analysis of the size of the lesion we observed that 07 (14%) had lesion less than 01cm of size 11 (22%) had lesion of 01cm size and 32 (64%) patients had lesion of 01cm to 02cm. Result: The overall incidence of incomplete excision was 05 (10%) [scalp 02 (04%) and nose 03 (06%)] and complete excision was successfully performed in 45 (90%) of patients on clinical judgment and proven by histopathological examination. On histopathological analysis for margins 02 (04%) patients had lateral margins and 01 (02%) had both margins involved. Conclusion: Based on our experience we conclude that delay in presentation has an overall negative effect on the outcome as it leads to extensive tissue destruction, which in turn decreases the functional and cosmetic outcome of surgical management.

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