Carcinoma basocelular ulcerado frontal com acometimento superciliar: tratamento cirúrgico com retalho de avanço bilateral / Frontal basal cell carcinoma with superciliar aff ection: surgical treatment with bilateral advancement flap

RESUMO

Relatamos o caso de um paciente apresentando carcinoma basocelular nodular ulcerado de 3 cm de diâmetro na região frontal, à esquerda, atingindo a metade medial do supercílio. A lesão foi excisada e a reconstrução, realizada com retalhos de avanço em H. A região esquerda incluiu o restante do supercílio, sendo maior do que a contralateral. Assim, mantiveram-se a harmonia e a simetria das regiões superciliares e glabelar. As cicatrizes fi caram pouco perceptíveis por estarem posicionadas nas linhas de expressão. O paciente permanece sem lesões após dois anos de acompanhamento.

ABSTRACT

We report the case of a patient presenting a 3 cm diameter ulcerated nodular basal cell carcinoma in the frontal left region, reaching the medial half of the eyebrow. The lesion was excised and the reconstruction was carried out with advancement fl aps in H and the left included the rest of the eyebrow, being larger than the contralateral. Thus, the harmony and symmetry of the superciliary and glabellar regions were remained. The scars were visible just by being positioned in wrinkles rows. The patient remains without injuries after two years of monitoring.