Highlights
Squamous cell cancer involving most of the lower lip is a surgical challenge.
The Fujimori flap can be used in total lower lip reconstruction.
This local flap reconstruction resulted in oral continence and a reasonable esthetic outcome.
Incidental findings of non-caseating granulomas and metastasis in sentinel lymph nodes are rare but cause clinical challenges. We report a case of coinciding unexpected asymptomatic lymphoid sarcoidosis and a micrometastasis in a sentinel node of a patient, who was newly diagnosed with 2.0 mm thick melanoma on the left calf.
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