A robust man in his 90s, who was active and living independently, presented to a dermatologist’s office after a punch biopsy specimen of an asymptomatic mass he noticed on his left cheek revealed basal cell carcinoma (BCC). Examination of the mass showed a 1.5 × 2.0-cm crusted plaque on the left marionette line. Without a discussion with his physician regarding alternative treatment options, he underwent Mohs micrographic surgery 7 weeks later, which confirmed a micronodular BCC. After a 3-stage surgery, the patient was left with a 4.5 × 5.7-cm defect with resection of most of the buccinator muscle and a partial laceration of the parotid gland. After each stage, the patient was given the option to stop the procedure. Each time, he opted to continue in hopes for a cure. He was sent home with an otolaryngology follow-up. Given the large facial defect and complications from Mohs surgery, he subsequently had another operation for further removal of positive tissue margins, parotid duct laceration repair, and cervicofacial flap reconstruction.

90年代一个健壮的男人活跃并且独立生活，他在左脸颊上发现了一个无症状肿块的穿孔活检标本后发现了基底细胞癌（BCC），他来到皮肤科医生的办公室。肿物的检查在左牵线木偶线上显示出1.5×2.0 cm的结cru斑块。在没有与医生讨论替代治疗方案的情况下，他在7周后接受了Mohs显微外科手术，这证实了微结节性BCC。经过3阶段的手术​​后，患者留下4.5×5.7 cm的缺损，切除了大部分的腹肌，并切除了腮腺的部分裂伤。在每个阶段之后，患者可以选择停止手术。每次，他都选择继续希望能够治愈。他被送回家进行耳鼻喉科随访。