Basal Cell Carcinoma of the Head and Neck Region: Analysis of Completely Excised 165 Cases in BSMMU

Abstract

BCC is very common skin malignancy in Bangladesh, especially in lower class those who are worked in sunlight and arsenic pron area in our country. The aim of the study is to analyze all completely excised BCCs in the head and neck region with regard to age, sex, personal and familial history, tumor localization, histopathological subtype of tumor, reconstruction method, and recurrence rates. Incompletely excised BCCs were not included in this study since incomplete excision is the most important preventable risk factor for recurrence. In 160 patients, 331 lesions were retrospectively evaluated by dividing into the following 8 subunits: scalp, frontotemporal, orbital, nose, cheek, auricula, perioral, and chin-neckarea. Most of the patients were in 60–70 age group (34.7%). The nose (32.3%) was the most common site of presentation. Clinically, all lesions and histopathologically, most of the lesions (42.2%) presented were of the nodulartype. All cases of recurrence after complete excision (2.7%) were located in the median parts of the head and neck region and were mainly diagnosed histopathologically as sclerotic and micronodular. Even though completely excised, head and neck region BCCs, especially which are more prone to recurrence due to anatomical and histopathologica lproperties, should be more closely monitored in order to decrease morbidity and health care costs.