Management of basal cell carcinoma: our experience at tertiary care institute


  • Seema Mittal Department of Surgery, Sri Guru Ramdas University of Health Sciences and Research, Amritsar, Punjab, India
  • Tejinder Singh Dall Government Medical College, Amritsar, Punjab, India
  • Raman Mittal I plast Hospital, Amritsar, Punjab, India



BCC, Wide local excision, Mohs microsurgery, Skin flap, Split skin grafting


Background: Basal cell carcinoma (BCC) is a slow growing, locally invasive and most common skin cancer. Its etiology is mostly linked to exposure to U.V. rays in sunlight. Diagnosis is mostly clinical and wide local excision is main treatment modality.

Methods: The study was conducted on 50 cases of BCC diagnosed at Sri Guru Ramdas University of Health Sciences during a study period extending from January 2013 to January 2021. In the present study various variables associated with BCC i.e. age, gender, size, site, and histopathology were studies.

Results: The present study was conducted on 50 patients of BCC. Total number of males was 32 (64%) and there were 18 (36%) females. Mean age of patients presented with BCC was 65 years and SD=14.054. It was observed that most common site of lesion was infra orbital region 12 (24%). Size of lesion varied from 1 to 3 cm and wide local excision with flap was most commonly performed procedure at our Institute. Nodular sclerosing was observed to be the most common histopathological type accounted for 35 (70%) of total cases.

Conclusions: BCC is a common surface malignancy amenable to early detection and potential cure. Infra orbital region is most common site and nodular sclerosing is most common histopathological type. Wide local excision remains the heart of treatment.  



Cigna E, Tarallo M, Maruccia M, Sorvillo V, Pollastrini A, Scuderi N. Basal cell carcinoma: 10 years of experience. J Skin Cancer. 2011;11:9-12.

Lear JT, Smith AG. Basal cell carcinoma. Postgrad Med J. 1997;73(863):538-42.

Motley R, Kersey P, Lawrence C. Multiprofessional guidelines for the management of the patient with primary cutaneous squamous cell carcinoma. Bri J Plastic Surg. 2003;56(2):85-91.

Tyagi R, Kaur D, Kaur G, Garg B, Sood N, Gupta S. Nodular Cystic Basal Cell Carcinoma of the Trunk: a Diagnostic Dilemma in an Unsuspecting Youth. Iran J Pathol. 2017;12(4):410-2.

Gulleth Y, Goldberg N, Silverman RP, Gastman BR. What is the best surgical margin for Basal cell carcinoma: a metanalysis of literature Plastic and Reconstructive Surgery. 2010;126(4):1222-31.

Smeets NWJ, Kuijpers DIM, Nelemans P, Ostertag JU, Verhaegh MEJM, Krekels GAM et al. Mohs’s micrographic surgery for treatment of basal cell carcinoma of the face--results of a retrospective study and review of the literature. Br J Dermatol. 2004;151(1):141-7.

Devine C, Srinivasan B, Sayan A, Ilankovan V. Epidemiology of basal cell carcinoma: a 10-year comparative study. Br J Oral Maxillofacial Surg. 2018;56(2):101-6.

Calllen J, Van Eycken J, Henau K, Garmyn M. Epidemiology of basal and squamous cell carcinoma in Belgium: the need for a uniform and compulsory registration. J European Acad Dermatol Venereol. 2016;30(11):1912-8.

Rogers HW, Weinstock MA, Feldman SR, Coldiron BM. Incidence estimate of nonmelanoma skin cancer (keratinocyte carcinomas) in the US population, 2012. JAMA Dermatol. 2015;151(10):1081-6.

Staples MP, Elwood M, Burton RC. Nonmelanoma skin cancer in Australia: the 2002 national survey and trends since 1985. The Medical Journal of Australia. 2006;184(1):6-10.

Shah M, Coates M. An assessment of the quality of life in older patients with skin disease. British Journal of Dermatology. 2006;154(1):150-3.

Cook MB, Dawsey SM, Freedman ND. Sex disparities in cancer incidence by period and age. Cancer Epidemiology Biomarkers & Prevention. 2009;18(4):1174-82.

Lorenzini M, Gatti S, Giannitrapani A. Br J Plast Surg. 2005;58(7):1007-10.

Jain VK, Verma SS, Verma AS, Munjal KR, Swarnakar B. Basal cell carcinoma over chest wall (sternum) treated with dufourmentel flap: report of a case with review of literature. J Cutan Aesthet Surg. 2010;3(2):115-8.

Mackiewicz-Wysocka M, Bowszyc-Dmochowska M, Strzelecka-Węklar D, Dańczak-Pazdrowska A, Adamski Z. Basal cell carcinoma - diagnosis. Contemporary Oncol. 2013;17 (4):337-9.

Aandani A, Ganatra A. Incidence of basal cell carcinoma at plastic surgery department of tertiary care hospital in Karachi. J Surg Pakistan. 2011;27:117-120.

Bichakjian C, Armstrong A, Baum C, Bordeaux JS, Brown M, Busam KJ et al. Guidelines of care for the management of basal cell carcinoma. J Am Acad Dermatol. 2018;78(3):540-59.






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