Cheek Case 1 Two BCC’s on the cheek
Authors: Frederik Gulmark Hansen, med.stud. and Magnus Balslev Avnstorp, MD
Male with two basocellular carcinomas on the left cheek.


Before and after

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Step 1: Pre operative drawing
A 5mm margin is drawn around the two basocellular carcinomas on the left cheek.

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Step 2: Excision 1
Excision of the first tumor in a 5 mm margin including some subdermal fat tissue.

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Step 3: Deep closure 1
The first tumor is closed directly in two layers. Absorbable inverted dermal sutures is used in the dermis.

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Step 4: Superficial closure 1
Direct closing with single nylon sutures in the skin.

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Step 5: Excision 2
The tumors are marked in the superior end for orientation of the specimen.

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Step 6: Closure 2
Direct closing in two layers. Absorbable inverted dermal sutures is used in the dermis and nylon single sutures in the skin.

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Step 7: Post operative photo
Micropore is applied to avoid stretching