Mixed Type Basal Cell Carcinoma Treated with Excision and Defect Closure Using Advancement Flap: A Case Report

Authors

  • I Gusti Nyoman Darmaputra Department of Dermatology and Venereology, Faculty of Medicine, Universitas Udayana/Prof. Dr. I.G.N.G Ngoerah General Hospital, Denpasar, Indonesia
  • Ketut Kwartantaya Winaya Department of Dermatology and Venereology, Faculty of Medicine, Universitas Udayana/Prof. Dr. I.G.N.G Ngoerah General Hospital, Denpasar, Indonesia
  • Adelia Suryani Department of Dermatology and Venereology, Faculty of Medicine, Universitas Udayana/Prof. Dr. I.G.N.G Ngoerah General Hospital, Denpasar, Indonesia
  • Herman Saputra Department of Pathology Anatomy, Prof. Dr. I.G.N.G Ngoerah General Hospital, Denpasar, Indonesia
  • Putu Setiani Department of Neurology, Kasih Ibu Hospital Kedonganan, Denpasar, Indonesia

DOI:

https://doi.org/10.37275/bsm.v8i2.931

Keywords:

Advancement flap, Basal cell carcinoma, Excision, Skin cancer

Abstract

Background: Basal cell carcinoma (BCC) is a localized malignant tumor in the basal layer of the epidermis thought to be the result of prolonged sun exposure and associated with gene mutations in most cases. Although rarely metastazises, BCC can cause high levels of morbidity due to its locally destructive nature. There are several modalities for managing BCC, and the defect caused by the lesion can reconstructed by local flap.

Case presentation: We present a 55-year-old woman with a chief complaint of a blackish lump on the left maxillary region, growing bigger, and frequent episodes of bleeding. The lesion was excised and followed by histopathological examination, which revealed mixed subtype BCC. Closure of the defect with an advancement flap was performed with favorable results.

Conclusion: Surgical excision is the best option for managing BCC, while a skin flap is preferred to close defects for lesions on the cheek.

 

Authors

  • I Gusti Nyoman Darmaputra1*
  • Ketut Kwartantaya Winaya1
  • Adelia Suryani1
  • Herman Saputra2
  • Putu Setiani3
  1. 1Department of Dermatology and Venereology, Faculty of Medicine, Universitas Udayana/Prof. Dr. I.G.N.G Ngoerah General Hospital, Denpasar, Indonesia
  2. 2Department of Pathology Anatomy, Prof. Dr. I.G.N.G Ngoerah General Hospital, Denpasar, Indonesia
  3. 3Department of Neurology, Kasih Ibu Hospital Kedonganan, Denpasar, Indonesia

Corresponding author I Gusti Nyoman Darmaputra — darmaputraunud@yahoo.com

Article history

  1. Submitted
  2. Accepted
  3. Published

Downloads

Published

2023-12-14

Article metrics

694Abstract views
389PDF downloads

How to Cite

1.
Darmaputra IGN, Ketut Kwartantaya Winaya, Adelia Suryani, Herman Saputra, Putu Setiani. Mixed Type Basal Cell Carcinoma Treated with Excision and Defect Closure Using Advancement Flap: A Case Report. Bioscmed [Internet]. 2023 Dec. 14 [cited 2026 Aug. 6];8(2):4048-54. Available from: https://bioscmed.com/index.php/bsm/article/view/931

Most read articles by the same author(s)