[Appraisal of oncological and cosmetic results of the surgical treatment of 138 baso-cell carcinomas (author's transl)].

The series concerning the treatment of baso-cell carcinoma often present large numbers, but the treatment has often been made according to different modalities, and several operators of varying experience have been involved. Also the cosmetic result has never been evaluated, which is strange since it is the face which is mostly concerned (96%). We are presenting only 138 reviewed lesions, but operated by one operator according to the same technique: surgical excision, immediate repair, frozen section being exceptional. The local flaps were favored, the distant flaps and full thickness grafts being made only when no local flap was available. The size and the site of the lesions (mainly centrofacial) is the same as in other series. The recurrence ratio with 3 years minimum of follow-up is 2,1%. The cosmetic result was evaluated by the patients and the non-operative author. The excellent results (no visible scar, no deformity) amounted to 61,4%, the good ones to 31,4% and are due essentially to local flaps. These results are discussed.