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Related Experiment Videos

Linear basal cell carcinoma: A distinct clinical entity.

I Mavrikakis1, R Malhotra, D Selva

  • 1Corneo Plastic Unit, The Queen Victoria Hospital, Holtye Road, East Grinstead, RH19 3DZ, UK.

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|June 8, 2006
PubMed
Summary

Linear basal cell carcinoma (BCC) presents uniquely along skin tension lines. Margin-controlled excision is recommended due to its aggressive behavior and subclinical extension, impacting surgical planning.

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Area of Science:

  • Dermatology
  • Plastic Surgery
  • Oncology

Background:

  • Basal cell carcinoma (BCC) is the most common skin cancer.
  • Linear BCC is a rare morphoeic variant with distinct clinical characteristics.
  • Limited literature exists on linear BCC within plastic surgery.

Purpose of the Study:

  • To define linear basal cell carcinoma (BCC) as a distinct clinical entity.
  • To highlight the significance of linear BCC in plastic surgery literature.
  • To review reported cases and analyze clinical and histological features.

Main Methods:

  • A comprehensive literature search was performed using Medline and PubMed.
  • 33 reported cases of linear BCC were identified and analyzed.
  • Data on tumor site, histological subtype, and excision margins were extracted.

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Main Results:

  • The periocular region was the most common site (49%).
  • Nodular BCC was the most frequent histological subtype (50%).
  • Excision margins were often insufficient, with none achieving complete excision using 2mm or 4mm margins in the cases analyzed.

Conclusions:

  • Linear BCC is a distinct clinical entity requiring specific management considerations.
  • Its presentation along relaxing skin tension lines suggests increased subclinical extension.
  • Margin-controlled excision is advised due to aggressive behavior and potential for incomplete resection.