Accuracy of Bread-Loafing for BCC Excision Margin Control

Abstract

Fusiform excisions are often employed for resection of small facial basal cell carcinomas (BCCs). There is some uncertainty regarding the accuracy of the bread-loafing method (examination of serial, transverse crosssections) for assessing the surgical margins of such excisions. In this study from a Mohs surgery practice, to see if this approach would have detected the residual tumor, investigators simulated bread-loaf sectioning in 42 small (<1-cm), well-defined, primary, nonmorpheaform …