The most straightforward method of diagnosis is biopsy. BCC is classified as nodular, micronodular, superficial, infiltrative, morpheaform, mixed, and basosquamous. Each has a different clinical and histologic appearance. Metastasis is rare with an incidence varying from 0.0028% to 0.1%. The commonly used method of tumor treatment is surgical excision. Cure rates are 95%, approaching 99% when histologic margins are negative. The minimal margin for resection is 2 to 5mm. Moh’s micrographic technique, curettage, electrodesiccation, and cryosurgery are other surgical alternatives. Other treatment options include laser destruction, topical chemotherapy, retinoids, intralesional interferon, photodynamic therapy, systemic chemotherapy, and radiation therapy. -R.H. HAUG Reprint requests to Dr Goldberg: Division of Plastic and Reconstructive Surgery, University Hospitals of Cleveland, 11100 Euclid Ave, Cleveland, OH 44106-5044.
New Book Annotations Puree Away Your Hunger Today: Real Cooking with Real Food for Real Recovering After Oral Surgery. Demetrio C. Highland Park, IL, Cathy’s Corner, 1996, 56 pages, paperback, $5.00. This patient information booklet provides recipes for soups, poultry, meat, fish, pasta, vegetables, and desserts that can be blenderized and eaten by patients unable to chew because of discomfort or maxillomandibular fixation. I Awaken to Glory: Essays Celebrating Horace Wells. Wolfe RJ, Menczer LF (eds), with 10 contributors. Canton, MA, Science History Publications/USA, 1994, 442 pages, illustrated. This book is a tribute to Horace Wells, discoverer of inhalation anesthesia, and is a compilation of 12 essays dealing with his life, his character, and his efforts to bring about painless surgery. It was published on the sesquicentennial of his discovery, and is a documentation of his significant contribution to mankind. Lasers in Oral and Maxillofacial Surgery. Clayman L (ed), with 12 contributors. Oral and Maxillofacial Clinics of North America, Volume 9, No 1, 1997. Philadelphia, PA, Saunders, 13 1 pages, illustrated. The articles included in this text demonstrate the range of use of lasers in oral and maxillofacial surgery. The subjects covered include the treatment of gingival diseases, transection of stage I oral cancer, facial rejuvenation, TMJ arthroscopic surgery, neurovascular repair, and management of precancerous lesions, pigmented lesions, and tatoos. Additionally, the physics of surgical lasers, the characteristics of the various types, and the different applications are discussed. Dental Diagnostic Imaging: Diagnostic Features and Pathology. Langlais RP, Hashimoto K, Yamamoto H (eds), with 9 contributors. Springfield, IL, Charles C. Thomas, 1997, 175 pages, illustrated, $52.95. This book on diagnostic imaging is unique in that it combines radiography with descriptions of the clinical
features, pathology, differential diagnosis, and treatment in a case-based format. The various conditions are extensively illustrated, with line drawings accompanying the radiographs so as to clarify the details of the pathology. The succinct and uniform presentation of the material adds to the value of the text as a handy source for quick reference. Color Atlas of Common Oral Diseases (ed 2). Langlais RP, Miller CS (eds). Baltimore, MD, Williams & Wilkins, 1998, 203 pages, illustrated in color, paperback. This new edition provides an organized approach to the differential diagnosis of conditions involving the oral cavity. The seven sections include anatomic landmarks, diagnostic and descriptive terminology, conditions affecting children, abnormalities by specific locations, lesions based on color and surface changes, and sexually related diseases. The accompanying text provides a concise overview of the conditions, with emphasis on their clinical appearance. The various diseases are illustrated with numerous color photographs and radiographs. Microsurgical Reconstruction of the Cancer Patient. Schusterman MA (ed), with 12 contributors, Philadelphia, PA, 1997, 335 pages, 400 illustrations (320 in color), $165.00. This book provides a step-by-step description of the microsurgical recontruction of cancer defects. Although other areas are included, almost half of the book is devoted to the head and neck region. This section begins with a discussion of patient evaluation, operating room setup, instrumentation, and specific microsurgical technique. This is followed by chapters on specific types of defects, types of flaps used, details of anatomy, and flap evaluation. The various procedures are illustrated with detailed line drawings and clinical photographs. The Mouth: Diagnosis and Treatment. Eisen D, Lynch DL. St Louis, MO, Mosby-Year Book, 1998, 304 pages, 318 color illustrations, $79.95. All aspects of mucosal disease, including neoplasia; oral manifestations of systemic, genetic, and dermatologic diseases; and oral manifestations of infections are discussed in this book. Both gross and microscopic features of the various conditions are presented and a special chapter is devoted to topical and systemic therapy. Numerous color photographs aid the clinician in making an accurate diagnosis. Implants in Dentistry. Block MS, Kent JN, Guerra LR (eds), with 33 contributors. Philadelphia, PA, Saunders, 1997,301 pages, 656 illustrations, $65.00. This text is designed to serve as a resource for readers with little prior experience in implantology. It covers the spectrum of the field from anatomic considerations and medical evaluation to the surgical and prosthetic management
of the patient.
grafting and guided tissue regeneration. The material is presented in a format that allows the clinician to apply it to a variety of implant systems.