ABSTRACT

Aims: To evaluate the pattern of presentation of Basal cell carcinoma and to compare the outcome of the different surgical procedures in term of post-operative infection, skin colour match and patient acceptance.

Study Design: Cross sectional Descriptive study

Place and Duration of Study: Department of Plastic/Reconstructive Surgery & Burns, LUMHS Jamshoro from 25th February 2010 to 25th August 2010.

Methodology: Forty patients of basal cell carcinoma were admitted through the outpatient and in casualty departments. The patients were diagnosed by pre-operative workup and on clinical parameters finding. The study intended to compare the outcome of the different surgical procedures in term of post-operative infection, skin colour match and patient acceptance. The follow up was comprised mandatory 1st visit after 5days in skin graft and after 1 week in flap and then 2nd visit after 8 days in skin graft and after 3 month in flap.

Results: Twenty six (65%) patients were presented with nodular variety of basal cell carcinoma; the commonest surgical procedure done was flap in n=29 (72.5%) patients, the early postoperative complications seen in this study were infection 2.5% patients, intermediate skin colour in 5% patients and non-acceptance in10% patients.

Conclusion: Basal cell carcinoma is locally aggressive skin malignancy. Nodular variety is most common variety in our set up. Local flap surgery is useful surgical procedure which results in good cosmetic results and less tissue infection and profound patient’s acceptance.

Key words: Basal cell carcinoma (BCC), Pattern, Outcome, Local flap, Full thickness skin graft