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,
NEW GB, HAVENS FZ. EPITHELIOMA OF THE FACE: TREATMENT AND SUBSEQUENT SURGICAL RECONSTRUCTION. JAMA. 1931;97(10):687–690. doi:10.1001/jama.1931.02730100011005
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: