ABSTRACT
A 59-year-old woman on continuous treatment with corticosteroids and immunosuppressive drugs for pemphigus vulgaris of 14 year's duration presented with an enlarging nodular lesion on the right lower eyelid. The neoplasm, diagnosed as basal cell carcinoma, was excised conserving the lid margin, and eyelid reconstruction was done with a rotated cheek flap. Wound healing proceeded without complications in spite of immunosuppressive treatment, and the final cosmetic and functional result was satisfactory.
Subject(s)
Carcinoma, Basal Cell/complications , Eyelid Diseases/complications , Eyelid Neoplasms/complications , Pemphigus/complications , Carcinoma, Basal Cell/pathology , Carcinoma, Basal Cell/surgery , Eyelid Neoplasms/pathology , Eyelid Neoplasms/surgery , Female , Humans , Middle AgedABSTRACT
A case of aggressive giant keratoacanthoma on the right temple region is described. Histopathologic examination was not definitive for keratoacanthoma, so that clinical considerations were helpful for diagnosis. The neoplasm was treated successfully with surgical excision and immediate repair with skin graft, in spite of one narrow peripheral area of residual disease on the wound surface after resection.
Subject(s)
Facial Neoplasms/surgery , Keratoacanthoma/surgery , Aged , Humans , MaleABSTRACT
A step technique of flaps is described, illustrated, and recommended for full-thickness defeats of up to two-thirds of the lower lip. The mobility of the lip, the sphincter function of its musculature, and cosmetic result of the reconstituted lips were found to be excellent from such a procedure.