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January 1966


Arch Dermatol. 1966;93(1):144-146. doi:10.1001/archderm.1966.01600190150033

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Recurrent, Infiltrating Basal Cell Carcinoma of Left Side of Nose With Special Microscopic Features of Perichondral and Perineural Invasion. Presented by Paul Hirsch, MD.  The patient is a 49-year-old Caucasian female.

History.—  About 15 years ago patient first noted a lesion over the left ala. This was treated with x-ray. The scarred area broke down many times. Numerous biopsies eventually revealed a basal cell carcinoma. After surgical excision with plastic repair, three years ago, area was again biopsied and only scar tissue identified.In August 1964, area "scaled over" and new biopsy revealed a basal cell carcinoma.

Clinical Examination.  —On Dec 11, 1964, revealed the following: 1.2 × 1.0 cm area of induration, crusting, and ulceration overlying the left ala. An 0.4 cm nodule projected into the nasal orifice, on the mucosal surface. In view of the history and clinical findings, the chemosurgical procedure (Mohs' Technique) was begun Dec 18,

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