title: New primary basal cell carcinomas arising in skin flaps following Mohs micrographic surgery for primary and recurrent basal cell carcinoma.
abstract: Two patients developed new primary basal cell carcinomas (BCCs) in skin flaps used to reconstruct wounds that followed an earlier primary BCC and a recurrent BCC treated by Mohs micrographic surgery. Criteria for distinguishing a new primary BCC arising in a skin flap or full-thickness skin graft at a previous treatment site for BCC from a truly recurrent BCC are presented. The distinction between a new primary BCC and true tumor recurrence is important for accurate clinical assessment and may have a dramatic impact on the type of subsequent treatment. In addition, there may be less medicolegal liability in the case of a new primary BCC arising at the site of a previously treated BCC than for a BCC that is determined to be recurrent.
authors: Department of Dermatology, University of Texas Medical Branch, Galveston 77550.
authors: R F
authors: RF
authors: Wagner
mesh_terms: D000328:Adult; D000368:Aged; D001478:Basal Cell Nevus Syndrome / Q000601:surgery*; D002280:Basal Cell Carcinoma / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D015580:Mohs Surgery; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D012086:Reoperation; D012878:Skin Neoplasms / Q000601:surgery*; D013524:Surgical Flaps