We report a case of basal cell adenocarcinoma of the upper lip in which reconstruction was performed using a V-Y advancement flap. The patient was a 59-year-old man who presented with a left upper lip mass that was 15 mm in diameter, elastic hard, and mobile. The patient reported no pain on palpation, and no metastasis was evident in regional lymph nodes. The tumor was homogeneous inside the left upper lip on CT soft-tissue display, appearing somewhat hyperdense as compared with muscle. Based on the results of biopsy, adenocarcinoma was diagnosed. With the patient under general anesthesia, the left upper labial mucosa was dissected, and the tumor was excised en bloc with the overlying skin. We performed a reconstruction procedure combining a rhomboid flap and a V-Y advancement flap. The pathological diagnosis was basal cell adenocarcinoma. No local recurrence or metastasis has been seen as of 2 years postoperatively.
