PARASCAPULAR FLAP USED IN THE CORRECTION OF SPINOCELLULAR CARCINOMA IN THE AXILLARY WALL - CASE REPORT (Atena Editora)

Abstract

A flap is a segment of tissue transferred from a donor area to a recipient area, in which survival depends on the vascular pedicle of the donor area. The parascapular flap (RPE) has a number of useful applications, such as, for example, repairing excision of malignant skin lesions on the upper limbs, head and neck. This paper reports a case of a 55-year-old male patient with squamous cell carcinoma (SCC) with free surgical margins in the right axillary hollow, with staging T2N3M0. Wide surgical resection of the lesion, axillary lymphadenectomy and immediate repair using RPE were performed, with an oncological and plastic surgery approach. The patient evolved satisfactorily in the postoperative period, being discharged after 24 hours and presenting a good aspect of the surgical wound, with no loss of limb mobility, after the first month of surgery. SCC is the second most common type of skin cancer, its main risk factor is ultraviolet radiation, the location of the lesion being unusual as in the case of the patient. The RPE was described in 1981, has a fasciocutaneous composition, has its pedicle based on the descending branch of the circumflex artery of the scapula, a safe and versatile vascular supply. It is a flap capable of covering extensive defects and of performing the primary synthesis of the donor region, being a good option in cases of great loss of skin lining. The RPE is widely used in plastic surgery, mainly for the correction of lesions in oncological skin surgeries, as it is a safe flap, with good recovery capacity and low risk of complications in the postoperative period, as seen in the case presented here.