Nonmelanoma Skin Cancer at Critical Facial Sites: Results and Strategies of the Surgical Treatment of 102 Patients.

BACKGROUND: To evaluate the surgical treatment results of a consecutive series of patients with nonmelanoma skin cancer in critical facial regions such as the nose, lip, eyelid, ear, forehead, cheek, and chin. METHODS: This was a prospective observational cohort study evaluating the surgical treatment results of 102 patients with nonmelanoma skin cancer who underwent surgical excision and required some type of reconstruction. The reconstruction strategy used, histological type and margins, aesthetic result, and complications were evaluated. RESULTS: The most common facial site was the nose (48.01%), followed by the eyelid, ear, cheek, forehead, and lip. The most frequently used type of reconstruction was the advancement flap (30.39%), followed by transposition flap (27,45%), rotation flap (14.70%), and grafts (10.78%). Basal cell carcinoma was the most frequent histological type, accounting for 90.19% of the sample, with 54.90% of these cases being of the nodular subtype. Disease-free margins were obtained in 94.11% of the patients, and only one patient presented compromised margins and underwent marginal extension. A good cosmetic result was found in 93.13% of the participants. CONCLUSION: Surgical treatment can provide excellent oncological, functional, and cosmetic results in the treatment of patients with nonmelanoma skin cancer at critical facial sites.

Leishmania infantum AS A CAUSATIVE AGENT OF CUTANEOUS LEISHMANIASIS IN THE STATE OF MATO GROSSO DO SUL, BRAZIL.

Cutaneous leishmaniasis is caused by different species of the Leishmania genus. Leishmania(Leishmania) infantum, causing cutaneous leishmaniasis, has been described in patients living in areas where visceral leishmaniasis is endemic. In this study, it was possible to characterize this species in seven slides from cutaneous tissue imprints from patients with cutaneous leishmaniasis in the State of Mato Grosso do Sul, Brazil.

Paracoccidioidomicose - aspectos epidemiológicos dados preeliminares / Paracoccidioidomycosis - Epidemiological features. Early results

Säo estudados 231 casos atendidos no período compreendido entre os anos de 1980 e 1992. 210 säo do sexo masculino(91,3 por cento ) e 20 do feminino (8,7 por cento ), com uma relaçäo de 10/1. A faixa etária predominante foi dos 30 aos 49 anos. Da forma clínica regressiva, näo houve casos, das formas agudas ou subaguda 28 (12,1 por cento ) e da forma crônica 203 (87,9 por cento ) casos. As principais ocupaçöes foram: 80 lavradores (34,6 por cento ); 48 sem referência (20,7 por cento ); 21 pedreiros (9,1 por cento ) e 17 lides do lar (7,4 por cento )