Case Report

Karsinoma sel basal tipe nodular yang diterapi dengan bedah eksisi elips dan anastesi tumesen

I Gusti Nyoman Darmaputra , Made Wardhana, I Gde Nengah Adhilaksman, I Gusti Ayu Agung Elis Indira, Nyoman Suryawati

I Gusti Nyoman Darmaputra
Departemen Dermatologi dan Venerologi, Fakultas Kedokteran, Universitas Udayana, Rumah Sakit Umum Pusat Sanglah, Denpasar-Bali. Email: darmaputra@unud.ac.id

Made Wardhana
Departemen Dermatologi dan Venerologi, Fakultas Kedokteran, Universitas Udayana, Rumah Sakit Umum Pusat Sanglah, Denpasar-Bali

I Gde Nengah Adhilaksman
Departemen Dermatologi dan Venerologi, Fakultas Kedokteran, Universitas Udayana, Rumah Sakit Umum Pusat Sanglah, Denpasar-Bali

I Gusti Ayu Agung Elis Indira
Departemen Dermatologi dan Venerologi, Fakultas Kedokteran, Universitas Udayana, Rumah Sakit Umum Pusat Sanglah, Denpasar-Bali

Nyoman Suryawati
Departemen Dermatologi dan Venerologi, Fakultas Kedokteran, Universitas Udayana, Rumah Sakit Umum Pusat Sanglah, Denpasar-Bali
Online First: April 01, 2019 | Cite this Article
Darmaputra, I., Wardhana, M., Adhilaksman, I., Indira, I., Suryawati, N. 2019. Karsinoma sel basal tipe nodular yang diterapi dengan bedah eksisi elips dan anastesi tumesen. Intisari Sains Medis 10(1). DOI:10.15562/ism.v10i1.439


Background: Basal cell carcinoma (BCC) has a very slow-growing and rarely metastatic nature but tends to be locally invasive and relapse after therapy. Elliptical excision is one of the surgical procedures in the field of dermatology which is most often used with the application of tumescent techniques.

Case Description: A woman, 64 years old, no. CM. 18.03.11.71, Balinese tribe, on July 30, 2018, came to the Dermatology and Venerology Polyclinic at Sanglah General Hospital with a frequent symptom of arising from wounds on the forehead. The lession began one year ago. Initially, it was a small reddish lump which was then felt more and more dilated as well as became blackish and accompanied by itching. Dermatology examination revealed hyperpigmentation, solitary, oval, 3x2cm, multiple erosion, firm boundary, round shape, 0.3-0.4 cm in diameter, covered in black crusting on top.

Conclusion: The diagnosis of BCC determined on anamnesis, physical examination, dermoscopy, and histopathology regard with standard ellipse excision surgery.

References

Carucci JA, Leffell DJ. Basal Cell Carcinoma. In: Freedberg IM, Eisen AZ, Wolf K, editors. Fitzpatrick’s dermatology in general medicine. 7 th ed. Philadelphia:WB Saunders Co; 2008. p. 1036–42.

Nouri K., Ballard C.J., Patel A.R., Braise R.A. Basal Cell Carcinoma. In: Nouri K., editors. Skin Cancer. New York: McGraw-Hill; 2008.p.61-85.

Reinau D., Surber C., Jick S.S., Meier C.R. Epidemiology of basal cell carcinoma in the United Kingdom: incidence, lifestyle factors, and comorbidities. British J Cancer. 2014; 111: 203-6.

Ramsey ML. Basal Cell Carcinoma. Emedicine May[cited 2006 May 9]. Available from: URL: http:///www.emedicine.com/derm/topic47.htm.

Rubin AI, Chen EH, Ratner D. Current Concepts Basal Cell Carcinoma. N Engl J Med 2005; 353: 2262–9.

Carucci J.A., Leffell D.J., Pettersen J.S. Basal Cell Carcinoma. In: Goldsmith L.A., Katz S.I., Gilchrest B.A., Paller A.S., Leffell D.J., Wolf K., editors. Fitzpatrick’s Dermatology in General Medicine. 8thed. New York: McGraw-Hill; 2012.p.1294-1303.

Chinem V.P. and Miot H.A. Epidemiology of Basal Cell Carcinoma. An Bras Dermatol. 2011; 86(2): 292-305.

Anonim. Buku Register Kunjungan Sub Bagian Tumor Bedah Kulit, Poliklinik Kulit dan Kelamin Rumah Sakit Umum Pusat Sanglah. Denpasar; 2017-2018.

Strutton G. Tumors of The Epidermis. In : Weedon D. Ed. Skin Pathology 2nd ed. New York : Churchill Livingstone, 2002, p : 753-802.

Wong CSM, Strange RC, Lear JT. Basal cell Carcinoma. BMJ 2003;327:794-798.

Robinson JK. Excisional Surgery and Repair, Including Flaps and Grafts. In : Wolff k, Goldsmith LA, katz SI, Gilchrest BA, Paller AS, Leffel DJ, editors. Fitzpatrick’s Dermatology in General Medicine, 7th ed. USA : McGraw-Hill Company, 2008, p : 2302-2315.

Jiang SB, Szyfelbein K. Pathology : Basal cell carcinoma. Available at : http://www.emedicine.com/ent/disc672.htm. Last update : Aug 16 2007.

Niwa ABM, Pimentel ERA. Basal cell Carcinoma in Unusual Locations. An Bras Dermatol. 2006;81(5 supl 3):s281-4.

Wong CSM, Strange RC, Lear JT. Basal cell Carcinoma. BMJ 2003;327:794-798.

Grossman D, Leffell DJ. Squamous Cell Carcinoma. In : Wolff k, Goldsmith LA, katz SI, Gilchrest BA, Paller AS, Leffel DJ, editors. Fitzpatrick’s Dermatology in General Medicine, 7th ed. USA : McGraw-Hill Company, 2008, p : 1028-1036.

Kimyai-Asaidi A, Alam M, Goldberg LH, et all. Efficacy of Narrow-Margin Excision of WII-demarcate Primary Facial Basal Cell Carcinoma. J Am Acad Dermatol. 2005;42:446-452.

Telfer NR, Colver GB, Bowers PW. Guidelines for The Management of Basal cell Carcinoma. Br J Dermatol 1999;141:415-423.

Goldberg LH, Alam M. Elliptical Excisions. Arch Dermatol. 2004;140:176-180.

Aasi SZ, Pennington B. Surgery in Dermatology. In : Wolff k, Goldsmith LA, katz SI, Gilchrest BA, Paller AS, Leffel DJ, editors. Fitzpatrick’s Dermatology in General Medicine, 7th ed. USA : McGraw-Hill Company, 2008, p : 2289-2301.

Gadelha A, Leão TL. Rule of four: a simple and safe formula for tumescent anesthesia in dermatologic surgical procedures. Surgical & Cosmetic Dermatology. 2009; 1(2):99-102

Hruza GJ. Anesthesia. Dalam: Bolognia J, Jorizzo JL, Rapini RP, editor. Dermatology. Toronto: Mosby;2003.h.2233-9.

Klein JA: Tumescent technique for regional anesthesia permits lidocaine doses of 35 mg/kg for liposuction: Peak plasma lidocaine levels are diminished and delayed 12 hours. J Dermatol Surg Oncol. 1990; 16:248-263

Ridha, M., Suyatno, S., Pasaribu, E. 2017. Comparison of total seromas between Modified Radical Mastectomy (MRM) with and without skin flap fixation at Dr H. Adam Malik Hospital, Medan Indonesia. Bali Medical Journal 6(2): 357-362. DOI:10.15562/bmj.v6i2.574


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