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. Setting:-Nishtar Hospital, Multan. One year [October 2002 to September 2003]. 60 patients Descriptive study. Out of sixty cases, 50 [83%] were male and 10 [17%] were female. 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. 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