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Squamous cell carcinoma on an arteriovenous fistula scar: case report

The main type of access used for hemodialysis is the arteriovenous fistula (AVF) because it offers superior patency and lower complication rates when compared to other hemodialysis accesses. We report the case of a 69-year-old female patient with chronic kidney disease on dialysis secondary to hyper...

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Detalles Bibliográficos
Autores principales: Grillo, Vinicius Tadeu Ramos da Silva, Mellucci, Pedro Luciano, Soares, Marina Moraes Lopes, Sertorio, Nathalia Dias, Jaldin, Rodrigo Gibin, Sobreira, Marcone Lima, de Campos, Eloisa Bueno Pires, Bertanha, Matheus
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV) 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10421574/
https://www.ncbi.nlm.nih.gov/pubmed/37576725
http://dx.doi.org/10.1590/1677-5449.202200622
Descripción
Sumario:The main type of access used for hemodialysis is the arteriovenous fistula (AVF) because it offers superior patency and lower complication rates when compared to other hemodialysis accesses. We report the case of a 69-year-old female patient with chronic kidney disease on dialysis secondary to hypertensive nephrosclerosis with a radiocephalic AVF in the left upper limb created 9 years previously. Two years previously, she had undergone a kidney transplant and was taking immunosuppressants. A crusted lesion developed on her left forearm with onset 3 months before presentation and she underwent an excisional biopsy that revealed a well-differentiated and superficially invasive squamous cell carcinoma, with lateral and deep surgical margins free from neoplasia. At 1-year follow-up, the patient showed no signs of neoplastic recurrence.