PMC4323707_01
Brownish macule in left cheek
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A 69-year-old female patient, with a brownish macule located in the left malar region for 10 years, with 4 cm of diameter, asymmetric, with irregular and poorly defined borders (Figure 1).
First surgical stage: excision of external margin of lesion. Two scalpel
handles were adapted with a 3mm gap between blades
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An incision with a double-bladed scalpel was performed around the lesion, which required adaptation of two scalpel handles with a 3mm separation between the blades, obtaining a segment of tissue corresponding to the external margin of lesion, followed by primary closure (Figures 2, 3 and 4).
Excision of external margin of lesion. Submitted to histopathological
analysis
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An incision with a double-bladed scalpel was performed around the lesion, which required adaptation of two scalpel handles with a 3mm separation between the blades, obtaining a segment of tissue corresponding to the external margin of lesion, followed by primary closure (Figures 2, 3 and 4).
Primary closure
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An incision with a double-bladed scalpel was performed around the lesion, which required adaptation of two scalpel handles with a 3mm separation between the blades, obtaining a segment of tissue corresponding to the external margin of lesion, followed by primary closure (Figures 2, 3 and 4).
Second surgical stage: after 15 days, with confirmation of negative margins,
complete excision of tumor with primary closure
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