Various surgical options in the management of basal cell carcinoma in Nishtar hospital, Multan

ABSTRACT

To describe the prevalence, mode of presentation and various surgical options of reconstruction in the management of basal cell carcinoma [BCC] with a local perspective. The present descriptive study was conducted at Nishtar Hospital, Multan from 2006 to 2009. A separate file was maintained for each patient. A thorough history and full physical examination was conducted, relevant investigations were carried out. All this was recorded in data collection for and data analysed to find frequencies and percentages using SPSS-10. Out of sixty cases, 50 [83%] were male and 10 [17%] were female. Majority of the patients presented to us above the age of 45 years and the incidence of BCC increases with the age. The male to female ratio was 51. Out of 60 cases 26 [20 male, 6 female] 43.3% were farmer, 16 [all male] 26.6% wee construction workers, 10 [8 male, 2 female] 16.6% were unemployed and 8 [all female] 13.3% were household. No patient presented before 5 years after the development of the lesion. 34 [30 male, 4 female] 56.6% for the last 6-10 years, 20 [16 male, 4 female] 33.3% for the last 11-15 years, 2 [all male] 3.3% for 16-20 years and 4 [2 male, 2 female] 6.6% had lesions for> 20 years. All the lesions encountered in present study occurred on exposed head and neck region as. Most of the patients had the nodular pigmented type of BCC and majority of them were male. None of them have Gorlin's syndrome. Delay in presentation has an overall negative effect on the outcome. A simple excisional biopsy technique ensure margins clearance and give surgeon more freedom for reconstruction