Simultaneous excision Images

Simultaneous excision. Fig. 1 a: Infraorbital round keratotic tumor with central, slightly sunken hemorrhagic crust and an infratemporal reddish-brown tumor with erosive surface in a 64-year-old woman. The tissue sample from the infraorbital tumor showed a strongly cornified squamous cell carcinoma (pT2b; GI), the sample from the infratemporal region showed a basal cell carcinoma. Planning of a transverse shift flap plasty, whereby the infratemporal tumor is located within the zone of the contralateral relief triangle.

Simultaneous excision. fig. 1 b: Postoperative suture conditions after transverse flap surgery.

Simultaneous excision. fig. 1 c: Skin condition 4 years after displacement flap plastic surgery.

Simultaneous excision. Fig. 2 a: Protrusion of the skin by a fist-sized subcutaneous tumor in the scapula region. Laterally beside the protrusion there is a round inflammatory tumor with a central hemorrhagic crust (histologically basal cell carcinoma) and a little caudally of this an atypical pigment cell nevus (melanoma histologically excluded). A lipoma was suspected in the tumor causing the protrusion, which was confirmed after extirpation. Planning of a rotational flap plasty according to Imre, whereby basal cell carcinoma and nevus lie in the area of the excision triangle and the subcutaneous tumor below the arch-shaped extension of the incision.

Simultaneous excision. fig. 2 b: Suture conditions after rotational flap plasty in the shoulder region for the one-stage removal of a basal cell carcinoma, an atypical pigment cell nevus and a lipoma in a 56-year-old female patient.

Simultaneous excision. fig. 2 c: Progress documentation: skin condition 6 years after surgery.