title: Relapsing advanced metatypical basal cell carcinomas (MTBCC) of the face: surgical modalities.
abstract: Metatypical basal cell carcinoma (MTBCC) represents a high-risk type of cutaneous tumour. We report about three different patients with relapsing advanced large MTBCC: one of the scalp and two of the cheek region. Such patients required in most of the cases a complex surgical approach to achieve a stable and complete remission. In the first presented patient a combination of flaps and grafts has been performed. We describe tailored surgical approaches. By this contrivance it is possible to treat even elderly patients with exposed bone after complete excision effectively and safe. Interdisciplinary team work is for the benefit of these patients.
authors.affiliation: Policlinic for Dermatology and Venerology, Saint Kliment Ohridski University, Medical Faculty, University Hospital Lozenetz, Koziak street 1, 1407, Sofia, Bulgaria, georgi_tchernev@yahoo.de.
authors.forename: Georgi
authors.initials: G
authors.lastname: Tchernev
authors.forename: Anastasiya Atanasova
authors.initials: AA
authors.lastname: Chokoeva
authors.forename: Plamen Kolev
authors.initials: PK
authors.lastname: Penev
authors.forename: Julian
authors.initials: J
authors.lastname: Ananiev
authors.forename: Andreas
authors.initials: A
authors.lastname: Nowak
authors.forename: Yousef
authors.initials: Y
authors.lastname: Bayyoud
authors.forename: Stanislav
authors.initials: S
authors.lastname: Philipov
authors.forename: José-Carlos
authors.initials: JC
authors.lastname: Cardoso
authors.forename: Uwe
authors.initials: U
authors.lastname: Wollina
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002281:Carcinoma, Basosquamous / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D003452:Cryosurgery; D005153:Facial Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D012086:Reoperation; D012535:Scalp / Q000473:pathology / Q000601:surgery; D012867:Skin / Q000473:pathology; D012878:Skin Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D013524:Surgical Flaps / Q000601:surgery