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Basal cell carcinoma of the lower leg occurring in association with chronic venous stasis. Ann Plast Surg 1991 Mar;26(3):279-83

Date

03/01/1991

Pubmed ID

2029139

DOI

10.1097/00000637-199103000-00011

Scopus ID

2-s2.0-0025980972 (requires institutional sign-in at Scopus site)   22 Citations

Abstract

A patient with basal cell carcinoma found within a chronic venous stasis ulcer of the lower leg is reported, and the literature is reviewed. Basal cell carcinomas found within venous stasis ulcers tend to be multifocal and of the sclerosing type. Tumors often extend into the reticular dermis but have never been reported to extend deep to subcutaneous tissue. The plastic surgeon should familiarize himself with these entities when dealing with what appears to be chronic nonhealing venous stasis ulcers. Such ulcers warrant an incisional biopsy. Once a diagnosis of basal cell carcinoma is made, excision of the lesion down to the underlying muscle fascia and coverage with a split-thickness skin graft is usually curative. Because of the multifocal nature of these lesions, all other suspicious or hyperpigmented lesions of the leg should also be biopsied.

Author List

Gosain A, Sanger JR, Yousif NJ, Matloub HS

Authors

Hani S. Matloub MD Professor in the Plastic Surgery department at Medical College of Wisconsin
James R. Sanger MD Professor in the Plastic Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Aged
Carcinoma, Basal Cell
Chronic Disease
Humans
Leg Ulcer
Male
Skin Neoplasms
Skin Transplantation
Venous Insufficiency