Squamous cell carcinoma related to chronic sacroccocygeal sinus. Radical excision and reconstruction with a SGAP flap

2021 ◽  
Author(s):  
A. Parajó ◽  
L. Pérez‐Corbal ◽  
J.R. Sanz ◽  
J. Seoane ◽  
I. Vázquez‐García ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Radical Excision ◽  
Sgap Flap

scholarly journals Squamous Cell Carcinoma of the Heel Invading the Calcaneus Treated by Radical Excision and Reverse Sural Flap

Cureus ◽  
2020 ◽  
Author(s):  
Oussama Mansour ◽  
Mohamad K Moussa ◽  
Ryan Bou Raad ◽  
Hussein Zreik ◽  
Ali H Allouch
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Radical Excision ◽  
Sural Flap

scholarly journals Plasty of Achilles region with propeller tendon-fasciocutaneous peroneal artery perforator flap after radical excision of a neglected squamous cell carcinoma

2018 ◽  
Vol 05 (03) ◽  
pp. 104-108
Author(s):  
Viorica Mihaluta ◽  
Alina Stoian ◽  
Rodica Iordaschescu ◽  
Elena Pavlovschi ◽  
Adrian Cociug ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Perforator Flap ◽  
Peroneal Artery ◽  
Radical Excision ◽  
Artery Perforator

scholarly journals A Misdiagnosed Metastatic Squamous Cell Carcinoma of the Vulva

2021 ◽  
Vol 9 (C) ◽  
pp. 99-102
Author(s):  
Tito Brambullo ◽  
Gian Paolo Azzena ◽  
Giuseppe Masciopinto ◽  
Paolo Toninello ◽  
Bernardo Biffoli ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Radical Surgery ◽  
Saphenous Vein Graft ◽  
Weight Bearing ◽  
Delayed Diagnosis ◽  
Stage Iv ◽  
Radical Excision ◽  
Skin Malignancy

BACKGROUND: Early diagnosis of vulvar squamous cell carcinoma (SCC) is directly related to better prognosis and higher survival rate. Missed gynecologist follow-up, some cultural traditions and refrain from facing with a problem that involves intimacy and sexual sphere can be the cause of delayed diagnosis and treatment. Radical surgery still represents the gold standard, but narrow excision margins can progressively lead to local recurrence, even after years. CASE REPORT: The case we present is a rare case of misdiagnosed metastatic SCC of the vulva after radical excision and groin dissection 2 years before. After a full-through discussion with patient on treatment options and prognosis, a multidisciplinary surgical approach was planned, consisting in wide surgical resection of groin, part of mons pubis and right pelvic iliac-obturator lymphadenectomy. Femoral artery excision was performed due to absence of a clear margin, and reconstruction was accomplished with interposed great saphenous vein graft. The plastic reconstruction consisted in harvest of transverse rectus abdominal flap (TRAM), that was transposed inferiorly to repair right groin. Pathologist confirmed free margins of excision and pelvic lymph nodes resulted negative (pT1b, N3, M0 – stage IV A). DISCUSSION: When deep structures of the groin - such as femoral vessels - are involved by relapse, the condition is potentially life-threatening. A multidisciplinary approach consents to perform a radical surgery with free margins and likewise to achieve a satisfying functional reconstruction. CONCLUSION: This case should emphasize that skin ulceration on a non-weight-bearing surface is always suspicious for skin malignancy, an incisional biopsy is easy to perform and consents a rapid diagnosis. A history of recurrent vulvar SCC should always warn about the risk of late lymph node metastasis even years after a radical excision of the primary tumor and concomitant lymphadenectomy.

Complete Skin Resection of the Dorsum of the Hand: A Prophylactic Approach Using a Dermal Regeneration Template

2014 ◽  
Vol 18 (1) ◽  
pp. 56-59 ◽  
Author(s):  
Schapoor Hessam ◽  
Dimitrios Georgas ◽  
Michael Sand ◽  
Falk G. Bechara
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Surgical Reconstruction ◽  
Skin Substitute ◽  
Radical Excision ◽  
Invasive Squamous Cell Carcinoma ◽  
Split Thickness Skin Grafting ◽  
Dermal Regeneration Template ◽  
Dermal Regeneration

Background: Surgical treatment of multiple and recurring invasive carcinomas on the dorsum of the hand often results in a reconstructive challenge. Reconstruction is limited due to reduced adjacent tissue. Preserving the functionality of the hand is pivotal and needs to be respected while planning reconstruction. Objective: We present a case of extensive, multiple, and recurring invasive squamous cell carcinoma on the dorsum of the hand and describe a prophylactic surgical approach. Methods: We performed a radical excision of the skin on the dorsum of the hand and surgical reconstruction using a bilayer dermal skin substitute and split-thickness skin grafting. Results: After a 1-year follow-up, we observed an excellent cosmetic and functional result with no signs of recurrence. Conclusions: In case of extensive invasive squamous cell carcinoma on the dorsum of the hand, prophylactic resection and surgical reconstruction using a dermal regeneration template should be considered.

Reconstruction of a Lower Lip Defect with Bilateral Nasolabial Musculocutaneous Flap. Case Report

2020 ◽  
Vol 25 (3) ◽  
pp. 36-38
Author(s):  
Alina Helgiu
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Functional Results ◽  
Radical Excision ◽  
Nasolabial Flap ◽  
Immediate Reconstruction ◽  
Large Defect ◽  
Complete Excision ◽  
Lower Lip

AbstractSquamous cell carcinoma is the most common form of malignant tumour in the lower lip and its radical excision sometimes leads to complex defects. The treatment of squamous cell carcinoma of the lower lip is mainly surgical and consists of complete excision of the tumour, followed by immediate reconstruction. Although the nasolabial flap is a common flap used in the reconstruction of facial defects, it is an underestimated option in the reconstruction of the lower lip. We describe the reconstruction of a large defect of the lower lip that includes the bilateral commissures and ¼ of the upper lip, left side, in a 76-year-old male patient. Bilateral musculocutaneous nasolabial flap was used, with good functional results and an acceptable cosmetic result. We believe that the nasolabial flap is a good alternative for large lip defects both for patients with an affected general condition, but also as an alternative to existing flaps.

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