These guidelines on the management of basal cell carcinoma have been prepared for dermatologists on behalf of the British Association of Dermatologists. They present evidence-based guidance for treatment, with identification of the strength of evidence available at the time of preparation of the guidelines, and a brief overview of epidemiological aspects, diagnosis and investigation.
In this study we report the results of using Mohs' micrographic surgery (MMS) to treat 228 basal cell carcinomas (BCCs) in both a teaching and a district general hospital. The criteria for case selection and the 5-year recurrence rate of 3.8% are comparable with figures from the U.S.A. Our experience shows that high cure rates in difficult and, especially, recurrent tumours are obtainable using MMS in both a teaching and a district general hospital setting. Such treatment should be more widely available in the U.K. particularly as the incidence of BCCs is rising.
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