KMID : 0363219970350051036
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Korean Journal of Dermatology 1997 Volume.35 No. 5 p.1036 ~ p.1039
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A Case of Subdermal Basal Cell Carcinoma
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Choi Sung-Woo
Yang Jeung-Eun Jang In-Gang Kim Hyung-Ok Cho Sung-Pil
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Abstract
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Basal cell carcinomas usually anise from the epidermis and show some epidermal connections. It is very unusual that basal cell carcinomas occur as subdermal mass without epidermal connections. A 51-year-old female had an asymptomatic skin colored indurated plaque with lineal old scar on the left side of nose fort about 20 years. She had a tumor that supposed to be a epidermal cyst on the same site and the lesion was excised about 20 years ago. We performed the punch biopsy on her first visit which revealed hypertrophic scar. She was treated with intralesional injection of triamcinolone acetonide to reduce she size of hypertrophic scar. However, the lesion had not been reduced. She underwent the surgery to remove the scarf at plastic surgery and the excisional biopsy showed a subdermal basal cell carcinoma. We recommend that the newly developed skin tumor in the pre-excised legion should be required excisional
biopsy instead of punch and close observation.
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KEYWORD
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Subdermal basal cell carcinoma
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