Abstract
We report a case in which a double-bladed scalpel was used for micrographic surgical excision of nasal basal cell carcinoma. This treatment method was found to be more reliable and efficient than conventional methods used in Japan. A 59-year-old Japanese male presented with a 5-year history of an asymptomatic, irregularly shaped lesion from his left nasal ala to the tip of his nose. The lesion was excised by micrographic surgery, a diagnosis of invasive basal cell carcinoma was made, and the excised area was reconstructed by cartilage graft and flap with free surgical margin. The double-bladed scalpel is useful and efficient for the micrographic surgical treatment of high-risk basal cell carcinomas.[Skin Cancer (Japan) 2009 ; 24 : 234-238]
