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BCC Cartilage — SCE Dermatology MCQ

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HardDermatological SurgeryBCC CartilageSCE Dermatology

A recurrent infiltrative basal cell carcinoma of the conchal bowl is fixed to underlying cartilage and has ill-defined margins. Which treatment strategy is most appropriate?

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Correct answer: CMohs surgery with planned auricular reconstruction

A recurrent infiltrative tumour on the ear is high risk and may extend unpredictably around perichondrium or cartilage. Mohs surgery provides complete peripheral and deep margin assessment while conserving uninvolved auricular tissue; reconstruction should be planned around the resulting defect.

Reference: https://academic.oup.com/bjd/pages/bad-guidelines