Title: An Interesting Case of Basal Cell Carcinoma of the Face in Xeroderma Pigmentosum– Excision and Single Pedicle Advancement Flap

Authors: Dr Audipudi Venkata Ajit, Dr Arun Narindar, Dr RNM Francis

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i3.196

Abstract

Xeroderma pigmentosum (XP) is an autosomal recessive disorder characterized by extreme sensitivity to ultraviolet radiation and more than a 1,000-fold increase in the risk of cutaneous malignancy, basal cell carcinoma being the most common followed by squamous cell carcinoma and melanoma. It is a highly disfiguring disease with multiple recurring lesions requiring multiple surgical treatments. The need for cosmetically appropriate surgeries is of utmost importance in these patients. The paper describes the case of a 31year old Indian male, diagnosed with Xeroderma pigmentosa, who presented with basal cell carcinoma of the left cheek and was treated with wide local excision and a single pedicle advancement flap with a good cosmetic outcome and margin clearance.

Keywords: Xeroderma Pigmentosum, Basal Cell Carcinoma, Advancement Flap

References

  1. Kraemer KH, Lee MM, Scotto J: Xeroderma pigmentosum. Cutaneous, ocular, and neurologic abnormalities in 830 published cases. Arch Dermatol 1987;123:241–250.
  2. Kraemer KH, Ruenger TM. Genome instability, DNA repair and cancer. In: Wolff K, Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, editors. Fitzpatrick’s Dermatology in General Medicine. Vol 7 ed. New York: McGraw Hill 2008; 977-86.
  3. Ruenger TM, DiGiovanna JJ, Kraemer KH. Hereditary Diseases of genome instability and DNA repair. In: Wolff K, Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, editors. Fitzpatrick’s Dermatology in General Medicine. Vol 7 ed. New York: McGraw Hill 2008; 1311-25
  4. https://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0024883/
  5. Katz KH, Desciak EB, Maloney ME. The optimal application of surgical adhesive tape strips. Dermatologic surgery: official publication for American Society for Dermatologic Surgery[et al]. 1999;25(9):686-8. Epub 1999/09/22
  6. Strauch B, Fox M. VY bipedicle flap for resurfacing the nasal supratip region. Plastic and reconstructive surgery. 1989;83(5):899-903. Epub 1989/05/01
  7. Kwon KH, Lee DG, Koo SH, Jo MS, Shin H, Seul JH. Usefulness of v-y advancement flap for defects after skin tumorexcision. Archives of plastic surgery 2012;39(6):619-25.Epub 2012/12/13
  8. http://vet360.vetlink.co.za/wound-repair-techniwues-single-pedicle-advancement-flaps/
  9. Mosterd K, Krekels GA, Nieman FH, Ostertag JU, Essers BA, Dirksen CD, et al. Surgical excision versus Mohs' micrographic surgery for primary and recurrent basal-cell carcinoma of the face: a prospective randomised controlled trial with 5-years' follow-up. The lancet oncology. 2008;9(12):1149-56. Epub 2008/11/18
  10. Pepper JP, Baker SR. Local flaps: cheek and lip reconstruction. JAMA facial plastic surgery.2013; 15(5) 374-82. Epub 2013/09/21

Corresponding Author

Dr Audipudi Venkata Ajit

Department of General Surgery, Sree Balaji Medical College Hospital

Bharath University, Chennai, Tamilnadu, India

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