title: The combined multidisciplinary approach to invasive basal cell tumors of the scalp.
abstract: Deeply invading tumors of the scalp present numerous extirpative and reconstructive problems requiring the combined expertise and skills of both medical and surgical disciplines. We have employed a combined multidisciplinary approach to recurrent tumors of the scalp and calvarium. Intraoperatively, a fresh-tissue mapping modification of Mohs' histographic surgical technique is performed on the entire surgical specimen. This allows for total microscopic margin control of a recurrent basal cell carcinoma during a single surgical procedure. The resulting defect is immediately reconstructed by myocutaneous free flap transfer using microvascular techniques.
mesh_terms: D000328:Adult; D002280:Basal Cell Carcinoma / Q000601:surgery*; D006801:Humans; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D012535:Scalp / Q000601:surgery*; D012878:Skin Neoplasms / Q000601:surgery*