- Titel
- Lower leg reconstruction after resection of a squamous cell carcinoma on necrobiosis lipoidica with a pedicled fibula and an extended anterolateral thigh flap
- Untertitel
- a case report
- Zitierfähige Url:
- https://nbn-resolving.org/urn:nbn:de:bsz:14-qucosa2-934475
- Quellenangabe
- World journal of surgical oncology
Erscheinungsjahr: 2023
Jahrgang: 21
E-ISSN: 1477-7819
Artikelnummer: 38 - Abstract (EN)
- Background Extensive loss of soft tissue and bone due to neoplasia, trauma, or infection in extremities often leads to amputation. Case presentation We present the case of a 72-year-old female patient presenting with an extended cutaneous squamous cell carcinoma of the lower leg, developed on top of necrobiosis lipoidica. After achieving the R0 resection, a 26 × 20-cm soft tissue and 15-cm tibial bone defect resulted. The contralateral leg had been lost due to the same disease 18 years before. We achieved a successful reconstruction of the leg using a pedicled fibula transplantation, an extended anterolateral thigh perforator flap, and an internal fixation with plate and screws. Two years after the original surgery, the patient is relapse-free and mobile, with adequate function of the reconstructed foot. Conclusions Our case presented a unique combination of pedicled fibula transplantation and free extended ALT perforator flap to reconstruct an extensive defect after resection of a rare cSCC on top of NL. In selected cases, the boundaries of limb salvage can be pushed far beyond the current standards of treatment.
- Andere Ausgabe
- Link zum Artikel, der zuerst in der Zeitschrift „World journal of surgical oncology” bei BioMed Central erschienen ist.
DOI: 10.1186/s12957-023-02923-z - Verweis
- Ergänzendes Material ist unter folgendem Link zu finden.
Link: https://wjso.biomedcentral.com/articles/10.1186/s12957-023-02923-z#Sec4 - Freie Schlagwörter (EN)
- Extended cutaneous scquamous cell carcinoma, Necrobiosis lipoidica, Pedicled fibula transplantation, Anterolateral thigh perforator flap, Reconstructive microsurgery, Surgical oncology
- Klassifikation (DDC)
- 610
- Verlag
- BioMed Central, London
- Version / Begutachtungsstatus
- publizierte Version / Verlagsversion
- URN Qucosa
- urn:nbn:de:bsz:14-qucosa2-934475
- Veröffentlichungsdatum Qucosa
- 06.11.2024
- Dokumenttyp
- Artikel
- Sprache des Dokumentes
- Englisch
- Lizenz / Rechtehinweis
CC BY 4.0