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Complete Guide to Memory Mastery Whos Who in American Music The Alpine Xanadu: An Emma Lord Mystery Revised 11 January 2013. Small Lesions Less than 0.5 cm in Diameter. Small basal cell carcinomas are best treated by surgical excision with a minimum 4 mm margin in all directions, or by curettage and electro-fulguration.It is important to assess and mark the margins under good light, prior to the infiltration of local anesthetic. 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