Immediate results of surgical treatment of stage III facial skin cancer: A clinical case

Abstract

Relevance: Most cases of skin cancer are widespread on continents with predominantly fair-skinned populations and high levels of ultraviolet radiation exposure, such as Australia and New Zealand. In Kazakhstan, as well as throughout the world, there is an increasing trend in the incidence of skin cancer. In 2023, 4,481 new cases of this disease were registered, of which 85% were basal cell carcinoma. Kazakh Institute of Oncology and Radiology (Almaty, Kazakhstan) utilizes various methods, including surgical excision, which remains the main treatment method, as well as radiation therapy, electrochemotherapy, and cryotherapy.

The study aimed to describe a case of surgical treatment of a patient under local anesthesia with stage III basal cell skin cancer of the zygomatic region on the left, accompanied by clinical bleeding and pain.

Methods: The article describes a case of surgical treatment of skin cancer under local infiltration anesthesia.

Results: The postoperative period proceeded without complications. The cosmetic reusingssessed as satisfactory. The patient did not experience difficulties with facial movements, and no sensory disturbances were observed. The patient was discharged home with recommendations to consult a radiologist considering the tumor histotype to decide on the possibility of a postoperative course of radiation therapy.

Conclusion: The presented clinical case is rare and can serve as an important example for medical colleagues, especially the regional health workers dealing with elderly patients with complicated anamnesis. Surgical treatment under local infiltration anesthesia in such situations can be a successful alternative to general anesthesia, which carries high risks for patients with concomitant pathologies of the cardiovascular system and ensures safe surgical intervention while maintaining a high level of functional and aesthetic results.