Abstract

Basal cell carcinoma (BCC) is the most common type of skin cancer, which arises from the basal layer of the epithelium. It is a slow growing tumor and has a low metastatic potential, it accounts for 70–80% of all cutaneous malignancies in the head face and neck region .Defects near nasal tip and ala of the nose are one of the most difficult site to cover in a single stage, bilobed flap is reported to be used very effectively to close the defect in these areas. This article reports a case of basal cell carcinoma involving the ala of the nose which was excised and the reconstruction was done using bilobed flap.

Highlights

  • Basal cell carcinoma (BCC) is a slow growing, locally destructive, malignant tumor of the skin

  • It is derived from nonkeratinizing cells that originate from the basal layer of the epidermis and was first described in 1824 by Jacob 1Although basal cell carcinoma is a malignant neoplasm, it rarely metastasizes

  • The incidence of metastatic basal cell carcinoma is estimated to be less than 0.1%

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Summary

Introduction

Basal cell carcinoma (BCC) is a slow growing, locally destructive, malignant tumor of the skin. It is derived from nonkeratinizing cells that originate from the basal layer of the epidermis and was first described in 1824 by Jacob 1Although basal cell carcinoma is a malignant neoplasm, it rarely metastasizes. The incidence of metastatic basal cell carcinoma is estimated to be less than 0.1%. Nasolabial flap, median forehead dorsal nasal flap, glabellar flaps,bilobed flaps, cheek and craniofacial flaps are used for nasal reconstruction. In this case report a defect measuring 2.5 cm diameter following excision of a basal cell carcinoma in the left ala of the nose was reconstructed with a bilobed flap[2, 3, 4]

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