首页> 美国卫生研究院文献>Plastic and Reconstructive Surgery Global Open >Split-skin Paddle Anterolateral Thigh Flap for Reconstruction of Giant Dermatofibrosarcoma Protuberans in Groin
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Split-skin Paddle Anterolateral Thigh Flap for Reconstruction of Giant Dermatofibrosarcoma Protuberans in Groin

机译:皮瓣桨前外侧大腿皮瓣修复腹股沟巨人皮肤纤维肉瘤的隆突

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摘要

Dermatofibrosarcoma protuberans (DFSP) is a slow-growing superficial sarcoma. Due to its high late local recurrence, thin skin graft is usually recommended for reconstruction after resection of the tumor. In this report, we present a case of giant DFSP in the groin region of young woman. Reconstruction of large groin defect after DFSP resection was performed by “split-skin paddle anterolateral thigh flap” instead of skin graft considering that the patient was a 29-year-old woman. This method enabled the primary closure of the donor site and provided the positive functional and esthetic outcomes. In the present case, the surgical scar is less conspicuous and the patient can climb and descend stairs without any trouble at 4 years after the surgery. With careful monitoring of the tumor recurrence, this technique may become a reliable reconstruction option for patients with large groin defect after resection of the malignant tumor.
机译:隆突性皮肤皮肤肉瘤(DFSP)是一种生长缓慢的浅表肉瘤。由于其较高的晚期局部复发率,通常建议在肿瘤切除后重建薄皮移植物。在本报告中,我们介绍了一个年轻的女性腹股沟地区的大型DFSP病例。考虑到患者是29岁的女性,DFSP切除后大腹股沟缺损的修复是通过“劈开皮瓣前外侧大腿皮瓣”而不是植皮进行的。这种方法能够使供体部位初步闭合,并提供积极的功能和美学效果。在本例中,手术疤痕不那么明显,并且患者在手术后4年可以爬上楼梯和下楼梯而没有任何麻烦。通过仔细监测肿瘤的复发情况,该技术可能成为恶性肿瘤切除后腹股沟缺损较大的患者的可靠重建选择。

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