Assuntos
Biomarcadores Tumorais/análise , Carcinoma de Célula de Merkel/diagnóstico , Cicatriz , Linfonodos/patologia , Neoplasias Cutâneas/diagnóstico , Esternotomia , Idoso de 80 Anos ou mais , Axila , Carcinoma de Célula de Merkel/química , Carcinoma de Célula de Merkel/patologia , Carcinoma de Célula de Merkel/radioterapia , Cromogranina A/análise , Humanos , Imuno-Histoquímica , Queratina-20/análise , Metástase Linfática/radioterapia , Masculino , Neoplasias Cutâneas/química , Neoplasias Cutâneas/patologia , Neoplasias Cutâneas/radioterapiaRESUMO
Dermatofibrosarcoma protuberans is a rare cutaneous malignant tumor associated with a high cure rate but with a high incidence of local recurrence. Because of its tentacle-like subcutaneous infiltrating pattern that extends far beyond the clinically visible skin lesion, a wide resection margin is recommended. Hence, its localization to the head-and-neck regions, although rare, represents a real challenge for both the oncologic surgeon and the reconstructive surgeon, who aim to achieve a radical resection of the tumor with the best possible aesthetic outcome.A case of a 21-year-old Mediterranean man who presented with a 7-month history of a slowly growing subcutaneous lesion of the left preauricular region is reported. A diagnosis of dermatofibrosarcoma protuberans CD34+ was confirmed through surgical biopsy, and the patient subsequently underwent a wide en bloc local surgical resection, followed by anterolateral thigh perforator free flap reconstruction. Healing was uneventful. Initially, there was some facial nerve neurapraxia; however, this completely subsided within 3 months after the surgery. At the 13-month follow-up, the patient was completely well and free from the disease.
Assuntos
Dermatofibrossarcoma/cirurgia , Neoplasias Faciais/cirurgia , Retalhos de Tecido Biológico/transplante , Retalho Perfurante/transplante , Procedimentos de Cirurgia Plástica/métodos , Neoplasias Cutâneas/cirurgia , Anastomose Cirúrgica/métodos , Nervo Facial/fisiopatologia , Seguimentos , Humanos , Masculino , Coxa da Perna/cirurgia , Sítio Doador de Transplante/cirurgia , Cicatrização/fisiologia , Adulto JovemRESUMO
UNLABELLED: Although reports of late hematoma after placement of breast implants are rare, there has been a noticeable increase in these reports in recent years. Various etiologies have been proposed, usually relating to history of trauma, anticoagulant use, or physical strain. In this case report, we describe a 61-year-old patient who slowly developed a unilateral intracapsular hematoma 2 years after breast reconstruction with Biocell (Natrelle; Allergan, Inc, Irvine, California) textured implants. This case is unique because of the intraoperative finding of 2 capsules surrounding the implant, with the hematoma between the 2 layers. We also discuss the possible pathophysiological mechanisms of this phenomenon. LEVEL OF EVIDENCE: 5.
