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Article
September 5, 1931

EPITHELIOMA OF THE FACE: TREATMENT AND SUBSEQUENT SURGICAL RECONSTRUCTION

JAMA. 1931;97(10):687-690. doi:10.1001/jama.1931.02730100011005
Abstract

Complete, primary removal of epitheliomas of the face, regardless of their apparent inactivity or the resultant postoperative deformity, should always be carried out, on account of their potential malignancy. When these lesions have been treated by escharotics or radiation and have healed, many of them break down as more active growths; then fixation to the deeper tissues, involvement of cartilage and bone, and sometimes metastasis, take place. To delay radical removal of such growths until radiation and conservative treatment have been tried repeatedly, frequently changes the lesion from a minor one, which could have been removed by a simple method, to one the removal of which produces marked deformity and which requires secondary reconstructive procedures if it does not recur.

TYPES OF EPITHELIOMA  Epitheliomas of the face may be divided, clinically, into four groups: (1) the inactive type; (2) the active type; (3) those with involvement of cartilage and bone,

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