Cáncer de piel: Caso columella nasal

Resumen

Se presenta el caso clínico-quirúrgico de paciente femenina de 76 años conocida por el diagnóstico de carcinoma basocelular sólido de columella nasal previamente intervenido en el año 2003. Bajo anestesia general se realizó exéresis amplia de la columella y labio superior el 30-11-2004 con márgenes adecuados y negativos desde el punto de vista oncológico. La reconstrucción del labio superior y la columella se llevó a cabo utilizando dos colgajos nasolabiales bilaterales como primer tiempo quirúrgico. El segundo tiempo quirúrgico se realizó a los 2 meses desinsertando el colgajo nasolabial derecho para construir la nueva y definitiva columella. El resultado de anatomía patológica reportó carcinoma basoescamoso superficialmente infiltrante hasta el músculo estriado. Margen con dermatitis crónica. El resultado clínico-estético se considera satisfactorio.

Skin cancer: Nasal septum case
Abstract
The authors present to handle of a clinical case of basal and squamous cell carcinoma of the nasal columella in a woman of 76 years old. This case was management in the service of the oncology surgery of the Clinic Nuestra Señora del Pilar, Barinas, Venezuela. The first operation was carried out in the year 2003 by other surgeons. She consults our institution in November 2004. In November 2004 the patient was operated and the lesion was completely removed with oncologic margins. The reconstructive surgery of the high lip and columella was carried out with two bilateral nasolabial healthy skins to cover the wound. After two month, the second time surgery occurred for to separate the right nasolabial graft and to perform the finally columella. The result of the surgical pathologic specimen was reported how: Basal-Cell and Squamous-Cell Carcinoma with superficial infiltration until muscle. The margins were reported with chronic dermatitis. The aesthetic result was considerate satisfactory.