[Basocellular carcinoma--experience with surgical therapy]

The authors present a characteristic of the most frequent skin tumour-basilioma and discuss its problems from the aspect of surgical treatment. They evaluate a group of 181 patients with basioliomas. For treatment in all instances surgical excision was used which is preferred because it is a one-stage procedure and makes histological classification of the tumour possible. Alternative therapeutic methods such as cryodestruction, actinotherapy and local cytostatics were not used in the described group of patients. Treatment of basiliomas by surgical excision proved reliable and leads in the majority to permanent cure. The percentage of relapses among patients in the described group is comparable with data in the literature. In the conclusion the authors reflect on the probable increased importance of this tumour, which does not threaten life, in conjunction with Czechoslovak demographic data which confirm the "ageing of the population". They emphasize also the necessity of interdisciplinary collaboration in the differential diagnosis of some other skin tumours before a planned surgical operation.