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Apresentação do PowerPoint
Active search of skin cancer in patients with inflammatory diseases of chronic skin Potiguar University Laurete Internacional, Natal, Rio Grande do Norte, Brazil. Dr. Luiz Antônio Hospital, Liga Norte Riograndense Contra o Câncer, Natal, Rio Grande do Norte, Brazil. LIRA, G. A.; ARAÚJO, M.T.; MEDEIROS, D.B.G.; BISNETO, J.B.M.; BARRETO, L.K.D.. • Introduction: Chronic inflammatory skin disease is a risk factor for skin cancer. Elephantiasis is one of them, that can be caused by a threadworm, Wuchereria bancrofti, or it can be a result from lack of hygiene in injuries, causing infection. It affects the lymphatic circulation resulting in thickening and verrucous changes in the skin due to inflammatory process and chronic fibrosis. So, prevent skin cancer has to be the main goal in these patients. The skin alteration can be similar to skin cancer and to be distinguished, besides the anamneses, sometimes is necessary skin biopsy. This way, the treatment can be done with more accuracy. • Objective: Report a case of welldifferentiated squamous cell carcinoma, according to the first biopsy, in a patient with Elephantiasis who has repeated erysipelas. • Methods: Surgical and oncological Monitoring the patient, followed by review of medical records and literatures that address the pathology involved. • Results: Case report: PNC, male, 55 years old, Brazilian. Patient reports repeated erysipelas trough 40 years and Elephantiasis in lower limbs with infiltrative and multiple nodules injury. Moreover, it has high blood pressure and systemic rheumatoid arthritis. A skin biopsy of the lower limbs was requested, which returned with a result of well-differentiated squamous cell carcinoma with positive margins. The surgeons decided that the patient should be subjected to multiple tumor resections, but being a member at a time. Thus, the total resection of skin left leg was performed this first moment, with programming for future follow-up with plastic surgery. After the surgery, the result of the biopsy performed in the surgical specimen did not show neoplasia. So, the patient was encouraged to continue the treatment with physiotherapy and plastic surgery, besides preventive follow up. • Conclusions: Elephantiasis is a chronic inflammatory disease, so it has to be monitored in order to prevent skin cancer since is a strong risk factor for it. Michele Teixeira de Araújo Av. Jaguarari, 5100, casa 44. Bairro Candelária. Natal/RN. CEP: 59064-500 [email protected]