Brief Clinical History: The patient had a biopsy-proven squamous cell carcinoma of the left forearm. After explanation of the risks, benefits, and alternatives, she agreed to re-excision and closure. She understood that there would be a scar as a result.

Details of the Procedure: The patient was taken to the outpatient operating area. An ellipse was taken around the primary lesion with 0.5 cm margins for excision around the 0.8 cm lesion. The area was infiltrated with 1/2% Xylocaine with 1:200,000 epinephrine and approximately 5 cc was used. The area was prepared with Betadine paint and draped in a sterile manner. The lesion was elliptically excised. After excision, the elliptical defect was closed in layers with 4-0 OPDS totally 4 cm in length. The deep subcutaneous layer was closed separately and then a running subcuticular layer was performed. She tolerated the procedure well. She was given instructions for local care and will return in 9 days for a checkup and suture removal.

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