PMC5871379_01
A: Slightly erythematous 4-cm plaque in its largest
diameter with hyperkeratotic and grooved surface in the medial plantar
region of the left lower limb. B: Detail of the
lesion
abd-93-01-0126-g01.jpg
PMC5871379_01_abd-93-01-0126-g01.jpg
f1
Dermatological examination revealed a slightly erythematous 4cm plaque in its largest diameter with hyperkeratotic and grooved surface in the medial plantar region (Figure 1).
A: Compact hyperkeratosis, irregular acanthosis and
papillomatosis (Hematoxylin & eosin, X100). B:
Proliferation of fibroblasts and thick collagen fibers forming
vertically oriented bundles in the papillary dermis and in part of the
reticular dermis. Note the presence of vertically oriented proliferated
blood vessels (Hematoxylin & eosin, X200)
abd-93-01-0126-g02.jpg
PMC5871379_01_abd-93-01-0126-g02.jpg
f2
We observed no cellular atypia (Figure 2).
Immediate post-operative period, dressing with sterile absorbable
gelatin sponge. Suture performed only to fix the sponge during the first
two days
abd-93-01-0126-g03.jpg
PMC5871379_01_abd-93-01-0126-g03.jpg
f3
Due to the location of the lesion, we opted not to perform primary closure, keeping only a compressive dressing with a sterile absorbable gelatin sponge in the immediate and medium postoperative period (Figure 3).