title: Squamous cell carcinoma of the perineum: management with Mohs' surgical excision and gluteal thigh flap.
abstract: Two patients with squamous cell carcinoma of the perineum are presented. The carcinomas were treated by wide local excision using Mohs' fresh-tissue technique for control of the surgical margins. The wounds were closed using a gluteal thigh flap. In 1 patient the flap was extended across the midline for coverage of a contralateral perineal site. Healing was complete in each case. The combination of Mohs' fresh-tissue methods and the posterior thigh flap provided accurate identification and removal of the perineal tumor with stable wound coverage.
mesh_terms: D002081:Buttocks; D002294:Carcinoma, Squamous Cell / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010502:Perineum; D012878:Skin Neoplasms / Q000601:surgery*; D013524:Surgical Flaps; D013848:Thigh