SURGICAL APPROACH TO MALIGNANT SKIN LESIONS: A CASE REPORT USING THE FIGUEIREDO TECHNIQUE

Abstract

Background: Squamous cell carcinoma (SCC) is an aggressive cutaneous malignancy with potential for local invasion and metastasis, particularly in areas chronically exposed to ultraviolet radiation. Surgical excision with tumor-free margins is the gold standard; however, wound closure remains challenging in functionally and aesthetically critical regions, especially in patients with comorbidities that impair healing. The Figueiredo Technique, by redistributing tension and precisely aligning wound edges, enhances healing, reduces complications, and optimizes functional and cosmetic outcomes. Methods: This retrospective, observational, descriptive case report was based on the analysis of medical records of a patient under follow-up at the Oncologic Surgery Follow-up Department of a philanthropic teaching hospital in Espírito Santo, Brazil. Clinical data, lesion characteristics, operative technique, healing time, complications, and outcomes were collected. The surgical description was supported by medical records and literature on the Figueiredo Technique. Results: An elderly diabetic patient presented with advanced, large-dimension SCC of the forearm. Wide excision with tumor-free margins was performed, followed by wound closure using the Figueiredo Technique. The approach minimized tension, facilitated healing, and yielded satisfactory aesthetic and functional results. No infection or dehiscence occurred. In diabetic patients, the technique also contributes to the management of microvascular alterations, reducing necrosis risk and promoting adequate cellular repair in the medium term. Conclusion: The Figueiredo Technique proved effective for closure of extensive oncologic wounds, particularly in patients with comorbidities. In this case, it ensured proper healing and absence of complications, reinforcing its functional and aesthetic advantages. Continuous specialized follow-up remains essential in clinical practice.