Effectiveness of Narrow Margins in Patients With Low-Risk Basal Cell Carcinoma Undergoing Surgery

Long Term Prospective Study Evaluating Effectiveness of Narrow Margins for Low-Risk Facial Basal Cell Carcinomas

This clinical trial studies the effectiveness of narrow margins in patients with low-risk basal cell carcinoma undergoing surgery to remove skin lesions on the face. A margin is the area of normal tissue around a tumor taken out during surgery to make sure all of the cancer is removed. This clinical trial studies tissue samples to determine the least amount of tissue that must be removed to give an acceptable cure rate. This may allow less normal tissue to be removed from patients and may be a less expensive surgery.

PRIMARY OBJECTIVES:

I. To determine the success rate of narrow margin excisions of low-risk facial basal cell carcinoma (BCC).

SECONDARY OBJECTIVES:

I. To determine the narrowest excision margin for low-risk facial BCC that gives an acceptable (95%) cure rate over a 3 year follow-up period.

Inclusion Criteria:

1. Location

   1. Area M (cheeks, forehead, scalp & neck) tumor size < 10 mm
   2. Area H (central face, eyelids, eyebrows, periorbital, nose, lips, chin, mandible, preauricular & postauricular, temple & ear) tumor size < 6 mm

2. Well-defined borders

3. Primary BCC

4. Patient is not immunosuppressed

5. There has not been prior radiotherapy to the site

6. Nodular subtype

7. No perineural involvement-(no neurological deficits grossly) -

Exclusion Criteria:

1. Location

   1. Area M tumor size > or = to 10 mm
   2. Area H tumor size > or = to 6 mm

2. Poorly defined borders

3. Recurrent BCC

4. Patient is immunosuppressed

5. There has been prior radiotherapy to the site -