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Journal of Skin Cancer
Volume 2012, Article ID 943472, 4 pages
Research Article

Basal Cell Carcinoma of the Head and Neck Region: An Analysis of 171 Cases

1Department of Oral and Maxillofacial Surgery, Dental Section, Punjab Medical College, Faisalabad 38000, Pakistan
2Department of Oral and Maxillofacial Pathology, Dental Section, Punjab Medical College, Faisalabad 38000, Pakistan

Received 13 September 2012; Revised 27 November 2012; Accepted 28 November 2012

Academic Editor: M. Lebwohl

Copyright © 2012 Omer Sefvan Janjua and Sana Mehmood Qureshi. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Objective. To analyze the pattern of presentation of basal cell carcinoma (BCC) and margin status for excised specimens in the head and neck region. Study Design. Retrospective cross-sectional. Duration of Study. January 2009 to December 2011. Methodology. The database of the pathology department was searched to identify records of all malignant skin tumors that underwent standard excision with margins. Out of these records, tumors with a diagnosis of BCC in the head and neck region were retrieved and separated. Age, gender, anatomic location, pattern of tumor, and margin status were noted. Results. A total of 171 cases of BCC from various sites of head and neck were retrieved. Male to female ratio was 1.4 : 1. The age ranged from 22 to 90 years. Seventy-six cases presented on right side, 79 on left, and 16 were in the midline. Most common anatomical site was the nose followed by the cheek. Nodular lesions were the most common (46.2%) followed by pigmented variety (18.7%). Margins were clear in 77 (45.1%) cases, involved in 86 (50.2%) cases, and close in 8 (4.7%) cases. Conclusion. Nose was the most common site followed by the cheek. Nodular and pigmented varieties were the most frequent and margins were involved in more than fifty percent of the cases.