The Role of Wider Safety Margins in the Prognosis of the Basal Cell Carcinoma of the Face and Scalp

The aim of this study was to assess the wider safety margins and its role in recurrence rate of the Basal Cell Carcinoma of the face and scalp. We excise the basal cell carcinoma with wider safety margins (5 mm). In all patients there were safety margins of 0.5 mm in all directions of the tumor, peripheral and deep margins, and histopathological study of the excised lesions revealed clear surgical margins and deep layer from the tumor cells and follow-up for 3 years revealed no recurrence in any of our patients. The best cosmetic appearance was obtained in cases reconstructed by rhomboid flaps and only one case reconstructed by forehead flap needed revision.