Simple Mohs Reconstruction in a Blistering Disorder Patient
A 57-year-old Caucasian man with history of pemphigus foliaceus (PF), presented for management of biopsy-proven nodular basal cell carcinoma (BCC) on the right preauricular cheek. Because of the size of the tumor, the location, and the complex medical history of the patient, Mohs surgery was selected as the best management. At the time of Mohs surgery, the patient's PF was fairly well controlled on Cytoxan 150 mg daily and prednisone 10 mg every other day. On examination, the visible tumor was noted to be 1.4 × 1.1 cm. After 3 microscopically controlled layers, the final defect size was 2.4 × 2.2 cm (Figure 1).