Background: Basal cell carcinoma (BCC) is the most common cutaneous malignancy worldwide, typically affecting elderly individuals and arising on sun-exposed sites. Although it has low metastatic potential, incomplete excision and local recurrence remain signicant challenges, particularly in aggressive histological subtypes. Objectives: To evaluate clinicopathological characteristics and surgical margin status in patients with BCC treated at a tertiary cancer center. Methods:Aretrospective observational study was conducted in the Department of Surgical Oncology, NIMS Hospital, Jaipur, from March 2023 to June 2024. Eighty patients aged 18–75 years with histopathologically conrmed BCC who underwent primary surgical excision with margin assessment were included. Data on age, sex, anatomical site, histological subtype, and surgical margins were analyzed using descriptive statistics. Results: Among 80 patients, 65% were above 60 years, with a male-to-female ratio of 1.3:1. The head and neck region was the most common site (72.5%), followed by the trunk and extremities. Histopathologically, nodular BCC was the most frequent subtype (55%), followed by inltrative (22.5%) and supercial variants (15%). Margin positivity was identied in 7.5% of cases, predominantly in the inltrative subtype. Patients with margin involvement underwent re-excision, with no recurrence documented during the study period. Conclusion: BCC predominantly affects elderly patients and occurs mainly in sun-exposed areas. Inltrative subtypes are associated with higher rates of margin positivity, highlighting the need for meticulous surgical planning. Mohs micrographic surgery or wider excision should be considered in high-risk lesions to reduce recurrence.
Patel et al. (Wed,) studied this question.
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