Facial plast Surg 2013; 29(05): 417-428
DOI: 10.1055/s-0033-1353384
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Surgical Treatment of Large Skin Cancers

Glenn Goldman1, Vanessa Lichon2
  • 1Fletcher Allen Health Care, University of Vermont College of Medicine, Burlington, Vermont
  • 2Fletcher Allen Health Care, University of Vermont College of Medicine, Burlington, Vermont
Further Information

Publication History

Publication Date:
13 September 2013 (online)

Abstract

Treatment of large facial skin cancers with surgery is a multistep process. First, both the patient and the lesion must be evaluated to ensure that surgery is the most appropriate form of treatment. When surgery is deemed appropriate, the method of tumor removal must be chosen and may vary depending on the size and type of lesion. In many cases, Mohs surgery is appropriate, but in other cases, excision with en face permanent section margins will be elected. Reconstruction should only be undertaken when negative margins have been assured. Repair may entail coverage or aesthetic coverage, depending on patient factors and preferences. Flaps will generally increase cosmesis but are often not feasible once a wound reaches a certain size.