Case 2: SCC on the left cheek
Authors: Frederik Gulmark Hansen, med.stud. and Magnus Balslev Avnstorp, MD
Squamous cell carcinoma on the left cheek fast aggressive growing over 2 months.
Before and after
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Step 1: Pre operative photo
Squamous cell carcinoma on the left cheek
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Step 2: Drawing
Notice the drawing following Langers lines and that the larger excision does only strecht the mouth a little (will over 3 months settle nicely)
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Step 3a: Excision
The tumor is excised in 7,5 mm margin including deeper subdermal fatty tissue.
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Step 3b: Excision
The tumor is excised in 7,5 mm margin including deeper subdermal fatty tissue.
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Step 4: Closure
Minor undermining of skin and then closure in two layers. Subdermal inverted absorbable sutures and nylon single sutures in the skin.
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Step 5: Result
Micropore is applied to the cicatrice to avoid stretching