Abstract: Objective: To explore the surgical management and reconstruction of facial giant basal cell carcinoma. Methods: Seventeen patients with giant basal cell carcinoma in the head and neck region undergoing surgical excision and reconstruction at our hospital were enrolled. Medical charts were retrospectively reviewed and analysed. Results: The lesion was usually in the forehead, eyelid, lips or nasal-cheek region. The diameter of the greatest ranged from 5 to 11 cm, and 5-6 cm was the most common size when diagnosed. All patients underwent synchronous tumor resection and reconstruction (mostly local advancement flap) with no postoperative flap failure. Conclusion: Giant basal cell carcinoma in the head and neck can be successfully treated with synchronous tumor resection and local advancement flap reconstruction.

Key words: Giant basal cell carcinoma, Surgical management, Flap reconstruction