Case Study 1
Operative report
Preoperative diagnosis: Basal Cell Carcinoma
Postoperative diagnosis: Basal Cell Carcinoma
Location: Mid Parietal Scalp
Procedure:

Prior to each surgical stage, the surgical site was tested for anesthesia and re-anesthetized as needed, after which was prepped and draped in the normal sterile fashion.
The clinically apparent tumor was carefully define and debulked prior to the first stage in order to determine the extent of the surgical excision. With each stage, a thin layer of tumor- laden tissue was excited with a narrow margin of normal appearing skin, using the Mohs fresh tissue technique. A map was prepared to correspond to the are of skin from which it was excised, the tissue was prepared for the cryostat and and sectioned. Each section was coded, cut and stained for microscopic examination. The surgeon examined the entire base and margins of the excised piece of tissue. Area notes to be positive on the previous stage ( if applicable) were removed with the Mohs technique and processed for analysis.

No tumor was identified after the final stage of microscopicallycontrolled surgery. The patient tolerated the procedure well without any complication. After discussion with the patient regarding the various options, the best closure option for each defect was selected for optimal functional and cosmetic results.
Preoperative Size: 1.5 x 2.9 cm
Postoperative Size: 2.7 x 2.9 cm
Closure: Simple Linear Closure, 3.5 cm, Scalp
Total # of Mohs Stages: 2

Stage- 1, Sections-6, Positive-1
Stage-2, sections-2, Positive-2

A. 17311, 17315, 17312, 12002
B. 17311, 17312, 12002
C. 17311, 17315, 17312
D. 17311, 17312