title: Massive basal cell carcinoma of the scalp: successful management by cooperation of chemosurgeon and reconstructive surgeon.
abstract: No single modality is appropriate for treatment of the huge invasive basal cell carcinoma. Mohs' chemosurgery is perhaps the most efficacious ablative method, but it must be supplemented by a reconstructive procedure in nearly all sizable lesions. A case history is presented of a patient with massive basal cell carcinoma involving the entire posterior scalp and deep tissues in which chemosurgical ablation and major staged reconstruction proceeded concurrently to a successful conclusion. The advantages of this approach are discussed.
mesh_terms: D002280:Basal Cell Carcinoma / Q000601:surgery*; D004431:Ear, External / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery; D019736:Prostheses and Implants; D012535:Scalp / Q000601:surgery*; D012878:Skin Neoplasms / Q000601:surgery*; D016038:Skin Transplantation; D013518:Surgery, Plastic / Q000379:methods*; D014182:Transplantation, Autologous