Mercuţ R, Georgescu Claudia, Popescu Sanda Mihaela, Ciurea M, Scrieciu Monica, Georgescu C C
University of Medicine and Pharmacy of Craiova, Clinic of Plastic Surgery, Emergency County Hospital, Craiova, Romania.
University of Medicine and Pharmacy of Craiova, Histopathology Department, Craiova, Romania.
Curr Health Sci J. 2014 Oct-Dec;40(4):277-80. doi: 10.12865/CHSJ.40.04.09. Epub 2014 Dec 14.
Face basosquamous or metatypical carcinoma is a rare and controversial form of skin cancer. It is characterized by increased incidence of recurrence and distant metastases. We present the case of a patient of 71 years with an ulcerative lesion of 3/4 cm in the nasal pyramid. The injury occurred due to trauma to the nasal pyramid, produced 13 years ago. After investigation, which included ORL examination, imaging and oncology exam, surgery was decided to completely ablate tumor formation. The resulted defect of 4/5 cm was covered by mobilizing a forehead flap based on right supratrohleare artery pedicle. Histopathological examination revealed the diagnosis of basosquamous or metatypical carcinoma. The patient was referred to the oncology service for treatment.
面部基底鳞状癌或化生型癌是一种罕见且存在争议的皮肤癌形式。其特点是复发和远处转移的发生率增加。我们报告一例71岁患者,鼻锥部有一个3/4厘米的溃疡性病变。该损伤是由13年前鼻锥部的外伤引起的。经过包括耳鼻喉科检查、影像学和肿瘤学检查在内的调查后,决定进行手术以完全切除肿瘤组织。通过动员以右侧滑车上动脉为蒂的额部皮瓣覆盖了4/5厘米的缺损。组织病理学检查确诊为基底鳞状癌或化生型癌。患者被转至肿瘤科室进行治疗。