title: Surgical option for nonmelanoma skin cancer.
abstract: BACKGROUND
  Basal cell carcinoma (BCC) is one of the most frequent malignancies in the general population. Its best treatment option is the complete excision of the lesion. Mohs' micrographic surgery has demonstrated to be the surgical method with the highest cure rates, however, it is not available in many countries or institutions.
  
  
  METHODS
  We propose, as a treatment option for high-risk BCC, surgical resection of the tumor with transoperatory histological examination with the hematoxilin-eosin technique, delaying closure of the wounds until the margins and surgical bed are tumor-free.
  
  
  RESULTS
  We studied 83 patients with BCC; 49 were treated with the transoperatory technique and delay closure. We observed no recurrence in any patient that we followed up and there were no complications resulting from the technique in a 25-month follow up.
  
  
  CONCLUSIONS
  We recommend this technique for tumors with high-risk of recurrence if Mohs' micrographic surgery is not available.
authors.affiliation: Dermatological Surgery Department, Hospital Dr Manuel Gea González, México City, México. ppichardov@yahoo.com.mx
authors.forename: Patricia
authors.initials: P
authors.lastname: Pichardo-Velázquez
authors.forename: Judith
authors.initials: J
authors.lastname: Domínguez-Cherit
authors.forename: M a Elisa
authors.initials: Ma
authors.lastname: Vega-Memije
authors.forename: Gabriela
authors.initials: G
authors.lastname: Moreno-Coutiño
authors.forename: Héctor
authors.initials: H
authors.lastname: Proy
mesh_terms: D000328:Adult; D000368:Aged; D001707:Biopsy, Needle; D002280:Basal Cell Carcinoma / Q000473:pathology* / Q000601:surgery*; D003880:Dermatology / Q000379:methods; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D015580:Mohs Surgery / Q000379:methods; D009367:Neoplasm Staging; D011379:Prognosis; D018570:Risk Assessment; D012494:Sampling Studies; D012878:Skin Neoplasms / Q000473:pathology* / Q000601:surgery*; D016896:Treatment Outcome