case_images: PMC4323707_01
case_images: Brownish macule in left cheek
case_images: abd-90-01-0111-g01.jpg
case_images: PMC4323707_01_abd-90-01-0111-g01.jpg
case_images: f01
case_images: A 69-year-old female patient, with a brownish macule located in the left malar region for 10 years, with 4 cm of diameter, asymmetric, with irregular and poorly defined borders (Figure 1).
case_images: First surgical stage: excision of external margin of lesion. Two scalpel
  handles were adapted with a 3mm gap between blades
case_images: abd-90-01-0111-g02.jpg
case_images: PMC4323707_01_abd-90-01-0111-g02.jpg
case_images: f02
case_images: An incision with a double-bladed scalpel was performed around the lesion, which required adaptation of two scalpel handles with a 3mm separation between the blades, obtaining a segment of tissue corresponding to the external margin of lesion, followed by primary closure (Figures 2, 3 and 4).
case_images: Excision of external margin of lesion. Submitted to histopathological
  analysis
case_images: abd-90-01-0111-g03.jpg
case_images: PMC4323707_01_abd-90-01-0111-g03.jpg
case_images: f03
case_images: An incision with a double-bladed scalpel was performed around the lesion, which required adaptation of two scalpel handles with a 3mm separation between the blades, obtaining a segment of tissue corresponding to the external margin of lesion, followed by primary closure (Figures 2, 3 and 4).
case_images: Primary closure
case_images: abd-90-01-0111-g04.jpg
case_images: PMC4323707_01_abd-90-01-0111-g04.jpg
case_images: f04
case_images: An incision with a double-bladed scalpel was performed around the lesion, which required adaptation of two scalpel handles with a 3mm separation between the blades, obtaining a segment of tissue corresponding to the external margin of lesion, followed by primary closure (Figures 2, 3 and 4).
case_images: Second surgical stage: after 15 days, with confirmation of negative margins,
  complete excision of tumor with primary closure
case_images: abd-90-01-0111-g05.jpg
case_images: PMC4323707_01_abd-90-01-0111-g05.jpg
case_images: f05