PMC6796745_01
Preoperative view of the giant basal cell carcinoma of the back measuring 16 x 13 cm.
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A 88-year-old woman was admitted to our hospital for a large fungating lesion on her upper back measuring 16 x 13 cm (Fig. 1).
Intraoperative figure showing the defect after tumor excision (A) and the sample sent to pathologist with flap markings (B).
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Therefore the patient underwent wide local excision of the BCC with a 2 cm margin up to the skeletal muscle after a multidisciplinary tumor board consultation, and an immediate reconstruction by using an O-Z flap, harvested from the back, was finally achieved (Fig. 2).
Immediate postoperative result after the O-Z flap reconstruction (A) and the one-year follow-up picture showing no recurrences of the disease and an acceptable aesthetic result (B).
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