Abstract
To the Editor: A 69-year-old African American man with Fitzpatrick skin type V was diagnosed with basal cell carcinoma (BCC), infiltrative type, of the left parietal scalp in 1996. The initial lesion was an 8.4-cm × 2.0-cm ulcer with a necrotic base. The lesion was treated with wide local excision and split thickness skin grafting, with local recurrence diagnosed in 2002, whereupon the patient underwent a second wide local excision, craniotomy for bone involvement, and flap reconstruction. From 2003 to 2006, the patient had multiple flapped closures and debridements secondary to infection and wound dehiscence.
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