A Case of Basal Cell Carcinoma on the Left Cheek in a 62-Year-Old Woman, Operated by Wide Excision with V-Y Subcutaneous Tissue Pedicle Island Advancement Flap Under Bilevel Surgical Tumescent Anesthesia

Basal cell carcinoma (BCC) is a nonmelanocytic skin cancer that arises from basal cells, slow-growingtumors that almost never metastasize. Untreated BCCs have the potential to continue to grow anddestroy surrounding skin and nearby structures leading to physical deformity. The key to treatmentis to ensure that there is no more cancer left in the skin. Reconstruction with V-Y skin flaps can beperformed in several areas of the face. We reported a 62-year-old female patient with pigmentednodular BCC tumor on left cheek who was successfully treated with wide excision with V-Y skin flapunder bilevel surgical tumescent anesthesia.

Asymptomatic infant with high titre of immunoglobulin M Mycobacterium Leprae antibody whose mother has Morbus borderline lepromatous leprosy

Leprosy is a chronic infectious disease with a long incubation period caused by Mycobacterium leprae. The average incubation period for tuberculoid and lepromatous cases are 2-5 years and 8-12 years respectively1,2. Risk factors for leprosy includes age, sex, household contact and Bacilli Calmette-Guerin (BCG) vaccination3. We present an asymptomatic 3 month-old infant with high immunoglobulin M titre mycobacterium leprae antibody whose mother has morbus borderline lepromatous leprosy.