Surgical treatment of rhinophyma associated with basal cell carcinoma: report of four cases |
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| Authors: | A M Baruchin O Nahlieli Y Shapira L Rosenberg B Ben-Dor |
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| Institution: | (1) Plastic Surgery Unit, Barzilai Medical Center, 78306 Ashkelon, Israel Fax: +972-7-673-9541 e-mail: baruchin@netvision.net.il, IL;(2) Oral and Maxillofacial Unit, Barzilai Medical Center, Ashkelon, Israel, IL;(3) Department of Pathology, Barzilai Medical Center, Ashkelon, Israel, IL;(4) Plastic Surgery Department, Soroka Medical Center and the Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheba, Israel, IL |
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| Abstract: | Rhinophyma, the end stage in the development of rosacea, is characterized by sebaceous hyperplasia, fibrosis, follicular plugging,
and telangiectasis. Although it is commonly considered a cosmetic problem, it can also cause gross airway obstruction. Many
patients suffer psychic trauma as a result. Basal cell carcinoma (BCC), squamous cell carcinoma (SCC), and sebaceous carcinoma
(SC) have been reported previously in association with rhinophyma. It would appear that the incidence of malignancy in rhinophyma
is significantly greater than in the skin of normal noses. It is the purpose of this report to discuss and emphasize the need
for histologic examination of all the surgically removed tissue in patients with rhinophyma. Early surgical treatment is advocated
even in minimal rhinophyma, this can result in gratification for both the patient and the surgeon. Four illustrative cases
are presented.
Received: 24 March 1998 / Accepted: 19 May 1998 |
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| Keywords: | Nose neoplasms surgery Rhinophyma surgery Carcinoma basal cell pathology |
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