Early- and mid-career Mohs surgeons appear to remove tumors with similar numbers of stages regardless of their experience, case volume, or geographic location. Number of stages varies with anatomic location and tumor type. The authors have indicated no significant interest with commercial supporters.

An 83-year-old white woman was referred for Mohs micrographic surgery of a lentigo maligna on the left malar cheek. The tumor was completely removed in four stages, leaving an irregularly shaped defect that measured 3.8 x 4.7 cm and that involved the left lower lateral eyelid and infraorbital cheek (Figure 1). How would you reconstruct this defect?

A patient with clinically indolent multiple unilateral infundibulocystic basal cell carcinomas is described. Given the location of these multiple lesions, standard treatment modalities for basal cell carcinomas would have significant cosmetic and functional implications. A management approach with clinical follow-up and surgical intervention only for changing lesions is discussed.

No abstract