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Case Reports
. 2015 Jan-Feb;90(1):111-3.
doi: 10.1590/abd1806-4841.20153083.

Contoured technique for lentigo maligna

Monica Jidid Mateus  1 , Violeta Duarte Tortelly  1 , Carlos Baptista Barcaui  1 , Carla Araujo Jourdan  1 , Tassiana Simão  1 , Juan Manuel Piñeiro Maceira  1
Affiliations
Case Reports

Contoured technique for lentigo maligna

Monica Jidid Mateus et al. An Bras Dermatol. 2015 Jan-Feb.

Abstract

The surgical approach to lentigo maligna is a challenge to dermatologists, given the difficulty of clinical delimitation of borders. We report here a case of a 69-year-old female patient presenting with brownish macules on her face, since 10 years ago, with histopathological diagnosis of lentigo maligna. The surgical management employed was excision of visible borders with the contoured technique and immediate submission of these borders for histopathological analysis before complete excision of the tumor. This technique is a variant of staged excision, with lower rates of recurrence and acceptable aesthetic results.

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Conflict of interest statement

Conflict of interest: None

Figures

FIGURE 1
FIGURE 1
Brownish macule in left cheek
FIGURE 2
FIGURE 2
First surgical stage: excision of external margin of lesion. Two scalpel handles were adapted with a 3mm gap between blades
FIGURE 3
FIGURE 3
Excision of external margin of lesion. Submitted to histopathological analysis
FIGURE 4
FIGURE 4
Primary closure
FIGURE 5
FIGURE 5
Second surgical stage: after 15 days, with confirmation of negative margins, complete excision of tumor with primary closure
FIGURE 6
FIGURE 6
Postoperative after 3 months
See this image and copyright information in PMC

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