PMC6488772_01
A C-shaped semicircular incision was performed. Retraction and separation of
the epidermis and superficial dermis created a flap.
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fig1-2050313X19847785
The epidermis and superficial dermis were carefully retracted and separated to create a semicircular flap (see Figure 1).
The tumor was cleared in three Mohs stages. All margins, superficial, deep,
and lateral were processed and examined by the surgeon.
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PMC6488772_01_10.1177_2050313X19847785-fig2.jpg
fig2-2050313X19847785
The residual tumor in the dermis and subcutaneous tissue was cleared in three Mohs stages (see Figure 2).
Closure was performed with replacement of the tumor-free flap, avoiding the
need for a skin graft.
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fig3-2050313X19847785
Subsequently, the C-shaped flap of healthy, tumor-free tissue was placed to close the defect (see Figure 3).