RESECTION OF ACRAL LENTIGINOUS MELANOMA WITH REVERSER FLOW RECTAL RECONSTRUCTION – CASE REPORT
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , |
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 |
Resumo: | 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. |
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RESECTION OF ACRAL LENTIGINOUS MELANOMA WITH REVERSER FLOW RECTAL RECONSTRUCTION – CASE REPORTRESSECÇÃO DE MELANOMA LENTIGINOSO ACRAL COM RECONSTRUÇÃO DE RETALHO SURAL DE FLUXO REVERSO – RELATO DE CASOTumores cutâneosTécnica cirúrgicaCirurgia OncológicaSkin tumorsSurgical techniqueOncological surgeryABSTRACT 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.RESUMO O melanoma maligno é uma neoplasia cutânea com elevada agressividade e mortalidade que pode afetar todas as idades. Os fatores de risco conhecidos são ambientais, individuais e genéticos. O melanoma lentiginoso acral é um subtipo raro de melanoma e atinge de forma desproporcional pessoas com classificação Fitzpatrick diferente. O melanoma lentiginoso acral tem um pior prognóstico comparado aos outros subtipos, e isso foi atribuído ao seu comportamento biológico agressivo. A excisão cirúrgica com margem adequada é a única abordagem com potencial curativo em casos de melanoma maligno. Este artigo descreve um relato de caso sobre a técnica de ressecção do melanoma lentiginoso acral em associação a reconstrução do retalho sural de fluxo reverso, com intuito de ressaltar a importância desta opção de tratamento cirúrgico em uma área anatomicamente de difícil reconstrução cirúrgica. As informações foram obtidas dos prontuários do Hospital Escola Álvaro Alvim, Campos dos Goytacazes, Rio de Janeiro, no período 01/12/2017 até 31/01/2021. A paciente do sexo feminino, 44 anos, de fototipo V de Fitzpatrick, sem antecedentes pessoais ou familiares de melanoma foi atendida pelo serviço de oncologia clínica e encaminhada para o serviço de cirurgia oncológica. O tratamento cirúrgico do melanoma lentiginoso acral pode ser um desafio, por deparar com áreas extensas para ressecção impossibilitando a reconstrução com fechamento primário. O relato de caso concluiu que o retalho sural de fluxo reverso se mostrou uma técnica valiosa para reconstrução de áreas ressecadas, principalmente em regiões que suportam peso, favorecendo a cicatrização.Faculdade de Medicina de Campos (FMC)2021-10-29info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.fmc.br/ojs/index.php/RCFMC/article/view/52910.29184/1980-7813.rcfmc.529.vol.16.n2.2021Scientific Journal of the Medical School of Campos; Vol. 16 No. 2 (2021); 35-38Revista Científica da Faculdade de Medicina de Campos; v. 16 n. 2 (2021); 35-381980-7813reponame:Revista Científica da Faculdade de Medicina de Camposinstname:Faculdade de Medicina de Campos (FMC)instacron:FMCporhttps://www.fmc.br/ojs/index.php/RCFMC/article/view/529/258Copyright (c) 2021 Revista Científica da Faculdade de Medicina de Camposhttps://creativecommons.org/licenses/by-sa/4.0info:eu-repo/semantics/openAccessRibeiro de Oliveira, Paulo HenriqueNunes Barboza Duarte, Liviados Santos Batista, Barbara PaulaSiqueira da Igreja Junior, Haroldo José 2021-11-11T18:22:40Zoai:ojs.www.fmc.br:article/529Revistahttps://www.fmc.br/ojs/index.php/RCFMC/PRIhttps://www.fmc.br/ojs/index.php/RCFMC/oai||revista@fmc.br1980-78131980-7813opendoar:2021-11-11T18:22:40Revista Científica da Faculdade de Medicina de Campos - Faculdade de Medicina de Campos (FMC)false |
dc.title.none.fl_str_mv |
RESECTION OF ACRAL LENTIGINOUS MELANOMA WITH REVERSER FLOW RECTAL RECONSTRUCTION – CASE REPORT RESSECÇÃO DE MELANOMA LENTIGINOSO ACRAL COM RECONSTRUÇÃO DE RETALHO SURAL DE FLUXO REVERSO – RELATO DE CASO |
title |
RESECTION OF ACRAL LENTIGINOUS MELANOMA WITH REVERSER FLOW RECTAL RECONSTRUCTION – CASE REPORT |
spellingShingle |
RESECTION OF ACRAL LENTIGINOUS MELANOMA WITH REVERSER FLOW RECTAL RECONSTRUCTION – CASE REPORT Ribeiro de Oliveira, Paulo Henrique Tumores cutâneos Técnica cirúrgica Cirurgia Oncológica Skin tumors Surgical technique Oncological surgery |
title_short |
RESECTION OF ACRAL LENTIGINOUS MELANOMA WITH REVERSER FLOW RECTAL RECONSTRUCTION – CASE REPORT |
title_full |
RESECTION OF ACRAL LENTIGINOUS MELANOMA WITH REVERSER FLOW RECTAL RECONSTRUCTION – CASE REPORT |
title_fullStr |
RESECTION OF ACRAL LENTIGINOUS MELANOMA WITH REVERSER FLOW RECTAL RECONSTRUCTION – CASE REPORT |
title_full_unstemmed |
RESECTION OF ACRAL LENTIGINOUS MELANOMA WITH REVERSER FLOW RECTAL RECONSTRUCTION – CASE REPORT |
title_sort |
RESECTION OF ACRAL LENTIGINOUS MELANOMA WITH REVERSER FLOW RECTAL RECONSTRUCTION – CASE REPORT |
author |
Ribeiro de Oliveira, Paulo Henrique |
author_facet |
Ribeiro de Oliveira, Paulo Henrique Nunes Barboza Duarte, Livia dos Santos Batista, Barbara Paula Siqueira da Igreja Junior, Haroldo José |
author_role |
author |
author2 |
Nunes Barboza Duarte, Livia dos Santos Batista, Barbara Paula Siqueira da Igreja Junior, Haroldo José |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Ribeiro de Oliveira, Paulo Henrique Nunes Barboza Duarte, Livia dos Santos Batista, Barbara Paula Siqueira da Igreja Junior, Haroldo José |
dc.subject.por.fl_str_mv |
Tumores cutâneos Técnica cirúrgica Cirurgia Oncológica Skin tumors Surgical technique Oncological surgery |
topic |
Tumores cutâneos Técnica cirúrgica Cirurgia Oncológica Skin tumors Surgical technique Oncological surgery |
description |
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. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-10-29 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.fmc.br/ojs/index.php/RCFMC/article/view/529 10.29184/1980-7813.rcfmc.529.vol.16.n2.2021 |
url |
https://www.fmc.br/ojs/index.php/RCFMC/article/view/529 |
identifier_str_mv |
10.29184/1980-7813.rcfmc.529.vol.16.n2.2021 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.fmc.br/ojs/index.php/RCFMC/article/view/529/258 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2021 Revista Científica da Faculdade de Medicina de Campos https://creativecommons.org/licenses/by-sa/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2021 Revista Científica da Faculdade de Medicina de Campos https://creativecommons.org/licenses/by-sa/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Faculdade de Medicina de Campos (FMC) |
publisher.none.fl_str_mv |
Faculdade de Medicina de Campos (FMC) |
dc.source.none.fl_str_mv |
Scientific Journal of the Medical School of Campos; Vol. 16 No. 2 (2021); 35-38 Revista Científica da Faculdade de Medicina de Campos; v. 16 n. 2 (2021); 35-38 1980-7813 reponame:Revista Científica da Faculdade de Medicina de Campos instname:Faculdade de Medicina de Campos (FMC) instacron:FMC |
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Faculdade de Medicina de Campos (FMC) |
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FMC |
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Revista Científica da Faculdade de Medicina de Campos |
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Revista Científica da Faculdade de Medicina de Campos |
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Revista Científica da Faculdade de Medicina de Campos - Faculdade de Medicina de Campos (FMC) |
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