title: Big Bad BCCs: craniofacial resection and reconstruction for atypical basal cell carcinomata.
abstract: Basal cell carcinoma (BCC) is the most common malignancy of the body and most frequently occurs in the head and neck. 'Problematic aggressive' BCCs are either frequently recurrent, often after histologically confirmed clearance, or are 'giant/horrifying' and invasive of critical anatomy. Three patients that illustrate different clinical features and outcomes of 'problematic aggressive' craniofacial BCCs are reported that required craniofacial resection and reconstruction with microsurgical free flap cover, and a re-evaluation of our care pathway for these uncommon presentations.
authors.affiliation: St Andrews Centre for Plastic Surgery and Burns, Regional Head and Neck Service, MidEssex Hospitals Trust, Chelmsford, Essex.
authors.forename: Adel
authors.initials: A
authors.lastname: Fattah
authors.forename: Jonathan
authors.initials: J
authors.lastname: Pollock
authors.forename: A
authors.initials: A
authors.lastname: Maheshwar
authors.forename: Jonathan A
authors.initials: JA
authors.lastname: Britto
mesh_terms: D000368:Aged; D001706:Biopsy; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D002280:Basal Cell Carcinoma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D005145:Face / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006258:Head and Neck Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008866:Microsurgery / Q000379:methods; D008875:Middle Aged; D009361:Neoplasm Invasiveness / Q000473:pathology; D019651:Plastic Surgery Procedures / Q000379:methods*; D012535:Scalp; D012878:Skin Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D012886:Skull / Q000601:surgery*; D013524:Surgical Flaps; D014057:Tomography, X-Ray Computed