Double rhomboid skin flap in near basal cell carcinoma

Authors

  • Jennifer Michelle Widysanto Dermatovenereologist Author
  • Khairuddin Djawad Dermatology and Venereology Department, Faculty of Medicine, Hasanuddin University, Makassar, South Sulawesi, Indonesia Author
  • Anis Irawan Anwar Dermatology and Venereology Department, Faculty of Medicine, Hasanuddin University, Makassar, South Sulawesi, Indonesia Author
  • Siswanto Wahab Dermatology and Venereology Department, Faculty of Medicine, Hasanuddin University, Makassar, South Sulawesi, Indonesia Author
  • Airin R Nurdin Dermatology and Venereology Department, Faculty of Medicine, Hasanuddin University, Makassar, South Sulawesi, Indonesia Author
  • Idrianti Idrus Dermatology and Venereology Department, Faculty of Medicine, Hasanuddin University, Makassar, South Sulawesi, Indonesia Author

Keywords:

BCC, Excision surgery, Rhombic flap

Abstract

The rhombic flap is a local geometric transposition flap and offers significant versatility in reconstructive surgery. This flap is most often used to fill skin cancer defects in the head and neck area. Basal cell carcinoma (BCC) is the most common cancer in humans. For many subtypes of BCC, the gold standard treatment is surgical excision. For low aggressive BCC, alternative treatments such as cryosurgery, curettage and cryosurgery, photodynamic therapy (PDT) and topical Imiquimod can be used.

A case of BCC with adjacent lesions was reported and was treated by surgical excision using a modified double rhomboid flap technique.

References

1. Macneal P, Hohman MH, Adlard RE. Rhombic Flaps. [Updated 2024 Apr 18]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from:

https://www.ncbi.nlm.nih.gov/books/NBK558931/.

2. Kim JYS, Kozlow JH, Mittal B, Moyer J, Olencki T, Rodgers P. Guidelines of care for the management of basal cell carcinoma. J Am Acad Dermatol. 2018 Mar;78(3):540-59. doi: 10.1016/j.jaad.2017.10.006. Epub 2018 Jan 10. PMID: 29331385.

3. Jean Y. Tang EHE, Jr, Anthony E. Oro. Basal Cell Carcinoma and Basal Cell Nevus Syndrome. In: Sewon Kang MA, Anna L. Bruckner, Alexander H. Enk, David J. Margolis, Amy J. Mcmichael, Jeffrey S. Orringer, ed. Fitzpatrick’s Dermatology. 9Th ed: McGraw-Hill Education; 2019:1884-900.

4. Peris K, Fargnoli MC, Garbe C, Kaufmann R, Bastholt L, Seguin NB, et al. Diagnosis and treatment of basal cell carcinoma: European consensus-based interdisciplinary guidelines. Eur J Cancer. 2019;118:10-34. doi:10.1016/j.ejca.2019.06.003.

5. Verkouteren J, Ramdas K, Wakkee M, Nijsten TJBJoD. Epidemiology of basal cell carcinoma: scholarly review. 2017;177:359-72.

6. Kappelin J, Nielsen K, Nilsson F, Bjellerup M, Ahnlide I. Surgical treatment of basal cell carcinoma: a case series on factors influencing the risk of an incomplete primary excision. J Eur Acad Dermatol Venereol. 2020 Nov;34(11):2518-25.

doi: 10.1111/jdv.16327.

7. Venables ZC, Nijsten T, Wong KF, Autier P, Broggio J, Deas A, et al. Epidemiology of basal and cutaneous squamous cell carcinoma in the U.K. 2013-15: a cohort study. Br J Dermatol. 2019 Sep;181(3):474-82. doi: 10.1111/bjd.17873. .

8. McDaniel, B.; Badri, T.; Steele, R.B. Basal cell carcinoma. In StatPearls; StatPearls Publishing: Treasure Island, FL, USA, 2022.

9. Bauer A, Haufe E, Heinrich L, et al. Basal cell carcinoma risk and solar UV exposure in occupationally relevant anatomic sites: do histological subtype, tumor localization and Fitzpatrick phototype play a role? A population-based case-control study. J Occup Med Toxicol. 2020;15:28. Published 2020 Sep 10. doi:10.1186/s12995-020-00279-8.

10. Totonchy M, Leffell D. Emerging concepts and recent advances in basal cell carcinoma. F1000Res. 2017;6:2085. Published 2017 Dec 4. doi:10.12688/f1000research.11314.1

11. Tanese K. Diagnosis and Management of Basal Cell Carcinoma. Curr Treat Options Oncol. 2019;20(2):13. Published 2019 Feb 11. doi:10.1007/s11864-019-0610-0.

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Published

2026-01-06

How to Cite

1.
Widysanto JM, Djawad K, Anwar AI, Wahab S, Nurdin AR, Idrus I. Double rhomboid skin flap in near basal cell carcinoma. Pak J Med Surg Aesthet [Internet]. 2026 Jan. 6 [cited 2026 Jan. 15];1(3):124-7. Available from: https://www.pjmsa.com/index.php/pjmsa/article/view/37