Giant basal cell carcinoma of the back in an elderly lady - excision and OZ plasty

Giant basal cell carcinoma is a rare type of basal cell carcinoma, which is distinguished by its propensity for early metastases and deep tissue penetration. Here, we describe a case of 76-year-old woman who had a large ulceroinfiltrative lesion on her lower back that was diagnosed as basal cell carcinoma pre-operatively. Following a wide local excision with a negative margin, an OZ plasty flap was used for immediate reconstruction. Postoperative recovery was uneventful, and the 1-year follow-up revealed no recurrence and excellent functional and cosmetic outcomes. In older patients with few reconstructive choices, this case study demonstrates that OZ plasty is a viable, and cosmetically good reconstructive technique.