Basal Cell Carcinoma of the Pinna: Clinical and Surgical Considerations

Basal cell carcinoma (BCC) is the most common malignancy of the skin and predominantly involves sun-exposed areas of the head and neck. The pinna is a high-risk site due to chronic ultraviolet exposure, thin skin, minimal subcutaneous tissue, and proximity to cartilage, often resulting in delayed diagnosis and increased recurrence rates. We report a case of basal cell carcinoma of the pinna in a 62-year-old male who presented with a non-healing ulcerated lesion over the superior helix of the right ear. Clinical examination revealed a pearly, rolled-margin lesion fixed to the underlying cartilage. Histopathological examination following punch biopsy confirmed the diagnosis of basal cell carcinoma. The patient was managed with wide local excision with a 5-mm safety margin, including involved cartilage, followed by reconstruction using a local advancement flap. Histopathological evaluation of the excised specimen confirmed tumor-free margins. Postoperative recovery was uneventful, and no recurrence was noted during six months of follow-up with satisfactory cosmetic outcome. This case emphasizes the importance of early clinical suspicion, prompt biopsy, and complete surgical excision in the management of pinna basal cell carcinoma. A multidisciplinary ENT?dermatology approach is essential for achieving optimal oncological clearance while preserving auricular function and cosmesis.