Abstract

ACOSTA ARENCIBIA, A. et al. Local management of colon carcinoma metasasis in the face with a submental flap. Cir. plást. iberolatinoam. [online]. 2010, vol.36, n.4, pp.375-378. ISSN 1989-2055.

Cutaneous metastasis of the digestive tract are infrequent lesions appearing in patients with advanced disease. Most of these patients have been already operated of their primary tumour. Lesions are variable in aspect, arising de novo and evolving with rapid growth. They usually lie in the trunk or lower extremities thus facilitating an early diagnosis and management with simple extirpation and direct closure. A case-report of a patient with advanced colonic cancer is here presented. At admission he presented a cutaneous matastasic lesion in the right cheek; it was a 6 cm ulcerated, bad -smelling lesion which needed daily dressings affecting patient's normal life. The lesion was removed using successfully a submental flap as coverage. The submental flap provides a very similar tissue to facial defects, leaving no donor area sequelae which is in addition well hidden, being consequently a good tool for midsize facial defects.

Keywords : Submental flap; Cutaneous metátasis; Colon carcinoma.

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