RESECTION OF ACRAL LENTIGINOUS MELANOMA WITH REVERSER FLOW RECTAL RECONSTRUCTION – CASE REPORT

• Autor(a) principal: Ribeiro de Oliveira, Paulo Henrique
• Data de Publicação: 2021
• Outros Autores: Nunes Barboza Duarte, Livia, dos Santos Batista, Barbara Paula, Siqueira da Igreja Junior, Haroldo José
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Científica da Faculdade de Medicina de Campos
• Texto Completo: https://www.fmc.br/ojs/index.php/RCFMC/article/view/529
• topic: Tumores cutâneos; Técnica cirúrgica; Cirurgia Oncológica; Skin tumors; Surgical technique; Oncological surgery

ABSTRACT Malignant melanoma is a skin cancer with high aggressiveness and mortality that can affect all ages. The known risk factors are environmental, individual and genetic. Acral lentiginous melanoma is a rare subtype of melanoma and disproportionately affects people with a different Fitzpatrick classification. Acral lentiginous melanoma has a worse prognosis compared to other subtypes, and this was attributed to its aggressive biological behavior. Surgical excision with an adequate margin is the only approach with curative potential in cases of malignant melanoma. This article describes a case report on the technique of resection of acral lentiginous melanoma in association with reconstruction of the reverse flow sural flap, in order to highlight the importance of this surgical treatment option in an anatomically difficult area of surgical reconstruction. Information was obtained from the medical records of Hospital Escola Álvaro Alvim, Campos dos Goytacazes, Rio de Janeiro, from 12/01/2017 to 01/31/2021. A 44-year-old female patient, with Fitzpatrick phototype V, with no personal or family history of melanoma, was seen by the clinical oncology service and referred to the oncological surgery service. Surgical treatment of acral lentiginous melanoma can be a challenge, as it faces extensive areas for resection, making reconstruction with primary closure impossible. The case report conclude that reverse flow sural flap proved to be a valuable technique for reconstructing dry areas, especially in regions that support weight, favoring healing.