Scalp Case 1 Scalp
Authors: Frederik Gulmark Hansen, med.stud. and Magnus Balslev Avnstorp, MD
70 year old male with basal cell carcinoma (BCC) on the scalp.


Before and after

1
Step 1: Pre operative photo
BCC on the scalp

2
Step 2: Drawing
5mm safety margin is draws around the BCC

3
Step 3: Excision
BCC excised in 5 mm margin
- BCC is marked with a suture to indicate the directionality of the tumor for the pathologist

4
Step 4: Undermining
Undermining of the skin
- By doing this direct closure is possible

5
Step 5: Direct closure
Direct closure with absorbable dermal sutures and thick nylon sutures in the skin.

6
Step 6: Bandaging
A bandage with minor compression is applied