Journal of Cutaneous and Aesthetic Surgery
Print this page
Email this page
Small font size
Default font size
Increase font size
Home About us Current issue Archives Instructions Submission Subscribe Editorial Board Partners Contact e-Alerts Login 


 
CASE REPORT Table of Contents   
Year : 2008  |  Volume : 1  |  Issue : 1  |  Page : 29-30
Excision of basal cell carcinoma with radio frequency ablation


Baroda Skin Clinic, Saraswati Complex, Nanjalpur, Vadodara, Gujarat, India

Click here for correspondence address and email
 

   Abstract 

Basal cell carcinoma is usually treated by excision, or by ablative methods such as cryosurgery and laser. We describe treament of basal cell carcinoma by radiofrequency device.

Keywords: Basal cell carcinoma, Radiofrequency, Ablation

How to cite this article:
Patidar S. Excision of basal cell carcinoma with radio frequency ablation. J Cutan Aesthet Surg 2008;1:29-30

How to cite this URL:
Patidar S. Excision of basal cell carcinoma with radio frequency ablation. J Cutan Aesthet Surg [serial online] 2008 [cited 2019 Jul 18];1:29-30. Available from: http://www.jcasonline.com/text.asp?2008/1/1/29/41157



   Introduction Top


Basal cell carcinoma (BCC) is commonest in whites, but not rare in pigmented population. [1] It comprises 65% of all skin malignancies and 95% patients are above 40 years age. Tumour is common on eyelid, inner canthus and behind the ear, uncommon on limbs and back, rare on vermilion of lips, palms and soles. In distribution of lesion, the density of pilosebaceous follicles is an important determining factor. BCC are more common in males. Outdoor occupations with increase sun exposure and sunburns, ionizing radiation are also important factors. BCC can also arise in burns scars, nevus sebaceous and melanocytic nevus.


   Case Report Top


A 48-year-old woman developed 1.5 x 1.5 cm 2 non-healing ulcer, 1 cm below right eyelid of 8 months duration [Figure 1]. It had increased to this size from a small papule. On examination, the ulcer was round, non-tender, and easily bled on slight touch. Edges were rolled up with crusted base. Biopsy by 3.5-mm punch was done and it confirmed the diagnosis of BCC. Under field block and local infiltration ulcer was excised with radio frequency (RF) cutting mode as per the standard procedure. [2] Five millimetres normal skin margin was also included in excision and sent for histopathology. The incision was elliptical which was done with cutting mode of RF. Base was gently curetted and bleeding points were cauterized. Wound was closed after undermining with Prolene™ 5-0 [Figure 2]. Pressure dressing was done which was changed on third day. She was given antibiotic and analgesic for 2 weeks. Stitches removed alternately on 8 th and 14 th day. Initially for 1 month, patient had mild tenderness and itching which disappeared gradually. After 1-year follow-up patient has had no recurrence.


   Discussion Top


Various modalities are useful for the treatment of BCC. For the superficial lesions, excision remains treatment of choice. Other modalities can be used in patient where surgery is contraindicated. Nodulo ulcerative type of BCC, also called rodent ulcer, is the common variety and is best managed by simple excision of tumour.Excision by RF, with mild curettage was done in our case, which proved effective and yielded satisfactory therapeutic results.

 
   References Top

1.Wolff K, Johnson RA, Suurmond D, editors. Color Atlas and Synopsis of Clinical Dermatology. London: McGraw-Hill; 2005. p. 282-9.  Back to cited text no. 1    
2.Savant SS. Radiosurgery. In : Savant SS, Shah RA, Gore D, editors. Textbook and Atlas of Dermatosurgery and Cosmetology. Mumbai: ASCAD; 2005. p. 305-14.  Back to cited text no. 2    

Top
Correspondence Address:
Sukhdeo Patidar
Baroda Skin Clinic, Saraswati Complex, Nanjalpur, Vadodara, Gujarat, 390 011
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2077.41157

Rights and Permissions


    Figures

  [Figure 1], [Figure 2]

This article has been cited by
1 Radiofrequency ablation of adenoma sebaceum
Swaroop, MR and Nischal, KC and Rajesh Gowda, CM and Umashankar, NU and Basavaraj, HB and Sathyanarayana, BD
Journal of Cutaneous and Aesthetic Surgery. 2008; 1(2): 89
[Pubmed]



 

Top
 
  Search
 
  
  
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
    Email Alert *
    Add to My List *
* Registration required (free)  


    Abstract
    Introduction
    Case Report
    Discussion
    References
    Article Figures

 Article Access Statistics
    Viewed3614    
    Printed183    
    Emailed1    
    PDF Downloaded270    
    Comments [Add]    
    Cited by others 1    

Recommend this journal