Basal cell carcinoma of the nasolabial fold: an apparently ‘benign’ tumour that often needs complex surgery

Background: An extensive basal cell carcinoma that reached the maxillary sinus was removed. In the first reconstructive stage, we closed the primary defect on the sinus with a rotation-transposition flap. The distal portion of the flap necrosed, producing a defect in the nasolabial fold that left the sinus open and caused upward retraction of the upper lip. Objective: The defect of the nasolabial fold had to be corrected and the sinus closed; in a later stage, the retractile scar that appeared on the upper lip also needed correction. Methods: We used a delayed, elongated, right paramedian flap to correct the defect on the nasolabial fold and to close the sinus. We then corrected the retractile scar on the upper lip with a V-Y advancement flap. Results: The defect was closed without complications and the V-Y flap worked in returning the upper lip to its anatomic position. Conclusion: The midforehead flap is best for the reconstruction of the tip and the alar areas of the nose, including the near nasolabial fold. The V-Y advancement flap is an easy flap that allows one to correct retractions around the facial orifices. In dermatologie surgery, the final results must be as esthetic as possible.

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Early Onset Basal Cell Carcinoma: Surgical Approach

Acta Medica Bulgarica ◽

10.2478/amb-2014-0010 ◽

2014 ◽

Vol 41 (1) ◽

pp. 82-87

Author(s):

M. Betekhtin ◽

J. Ananiev ◽

G. Tchernev ◽

L. Zisova ◽

S. Philipov ◽

...

Keyword(s):

Basal Cell Carcinoma ◽

Cell Carcinoma ◽

Basal Cell ◽

Early Onset ◽

Surgical Excision ◽

Nasolabial Fold ◽

Non Melanoma Skin Cancer ◽

Suitable Treatment ◽

Excellent Cosmetic Result ◽

Melanoma Skin

Summary Basal cell carcinoma (BCC) is the most frequent non-melanoma skin cancer. Only 5-15% of BCC cases can be found in patients aged 20-40 years (so-called early onset). The early onset BCC is characterized by active and aggressive tumour growth, clinically presenting in most of the cases as a morpheaform, locally infiltrating or recurrent BCC. Despite the advances in the study of the pathogenesis of this tumour, surgery remains the most used, most effective and most suitable treatment modality. We describe a case of a 39-year-old woman who developed an early onset BCC of the nasolabial fold. After the subsequent surgical excision an excellent cosmetic result was achieved.

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Ultrastructure of Mouse Basal Cell Carcinoma Exhibiting Sebaceous Differentiation

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s1431927600003214 ◽

1980 ◽

Vol 38 ◽

pp. 738-739

Author(s):

Victoria L. Wade ◽

Winslow G. Sheldon ◽

James W. Townsend ◽

William Allaben

Keyword(s):

Basal Cell Carcinoma ◽

Cell Carcinoma ◽

Topical Application ◽

Basal Cell ◽

Sebaceous Gland ◽

Rats And Mice ◽

Mixed Tumors

Sebaceous gland tumors and other tumors exhibiting sebaceous differentiation have been described in humans (1,2,3). Tumors of the sebaceous gland can be induced in rats and mice following topical application of carcinogens (4), but spontaneous mixed tumors of basal cell origin rarely occur in mice.

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