RECURRENT BASAL CELL CARCINOMA
By Gary M. White, MD
This is an exceptional case. The entire periphery is positive for superficial BCC.
A recurrent BCC is any BCC that recurs after treatment.
- Part of the follow up care of any patient with a history of basal cell carcinoma should be evaluation of prior surgical sites to monitor for recurrence. Palpation should be part of the exam. Any redness in the scar or contiguous with it is suspect.
A red or red, scaly area in or adjacent to the scar is typical. Papules, tumors or deep-seated growths are other presentations.
Mohs surgery is the preferred treatment for recurrent BCC especially on the face. Standard excision with wider margins may be considered for smaller lesions on the trunk.
Nodular BCC, recurring in the surgical excision scar.
Large morpheaform BCC excised and now recurrent in multiples sites including the crusted area.
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