scholarly journals Giant Darier–Ferrand dermatofibrosarcoma protuberans of the abdomen and pelvis: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
A. Triki ◽  
M. Aloui ◽  
M. Ghalleb ◽  
I. Jbir ◽  
Ben Naceur ◽  
...  
Keyword(s):  
Case Report ◽  
High Risk ◽  
Skin Flap ◽  
Dermatofibrosarcoma Protuberans ◽  
Metastatic Potential ◽  
Wide Excision ◽  
Skin Tumor ◽  
Local Skin ◽  
Case Presentation ◽  
Local Skin Flap

Abstract Background Darier–Ferrand dermatofibrosarcoma (DFS) is a rare malignant cutaneous neoplasm characterized by local aggressiveness, high risk of recurrence, and low metastatic potential. Case presentation A 60-year-old Tunisian man with recurrent abdominopelvic DFS for which he had undergone multiple excisions presented with an extensive DFS that invaded the external genitals. He underwent a large excision with emasculation and thin cutaneous graft of the abdominal wall and local skin flap in the pelvis. Conclusion DFS is a rare yet recurrent skin tumor. Wide excision with free margins remains the cornerstone of treatment. We report a case of a giant DFS treated with wide excision and reconstructive surgery to cover the defect.

scholarly journals Pancreatic metastasis of dermatofibrosarcoma protuberans: a rare case

2020 ◽  
Vol 13 (1) ◽  
pp. e232614 ◽  
Author(s):  
Durga Sowgandhi Chilukuri ◽  
Prithviraj Premkumar ◽  
Balasubramanian Venkitaraman ◽  
Jagadesh Chandra Bose Soundararajan
Keyword(s):  
Case Report ◽  
High Risk ◽  
Soft Tissue ◽  
Local Recurrence ◽  
Rare Case ◽  
Dermatofibrosarcoma Protuberans ◽  
Metastatic Potential ◽  
Pancreatic Metastasis ◽  
Solitary Metastasis ◽  
Slow Growing

Dermatofibrosarcoma protuberans (DFSP) is a rare soft tissue malignancy which is locally aggressive, slow growing. It has a very low metastatic potential and has high risk of local recurrence. We report a 65-year-old man with recurrent DFSP of thigh with pancreatic metastasis. Apart from our patient, only four other cases of pancreatic metastasis of DFSP have been reported. Our patient had a solitary metastasis to pancreas and was treated with distal pancreaticosplenectomy. Outcome of the patient was good. We present this case report to emphasise that resection may be considered for solitary metastasis of DFSP and can be managed successfully.

scholarly journals Case Report Local skin flap with vacuum-seal drainage to facilitate healing of ACS

2015 ◽  
Vol 14 (2) ◽  
pp. 2953-2957
Author(s):  
R.B. Luo ◽  
Y.A. Xu ◽  
H.M. Zhong ◽  
Y.F. Zhang
Keyword(s):  
Case Report ◽  
Skin Flap ◽  
Local Skin ◽  
Local Skin Flap

scholarly journals Formulating an anesthetic plan using a list of high-risk pregnant women on cloud-based business communication tools: a case report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Junnosuke Kimura ◽  
Kento Kawamura ◽  
Manami Minoura ◽  
Ayako Hiramoto ◽  
Yoshifumi Suga ◽  
...  
Keyword(s):  
Case Report ◽  
High Risk ◽  
Cesarean Section ◽  
General Anesthesia ◽  
Pregnant Women ◽  
Cesarean Delivery ◽  
Business Communication ◽  
Communication Tools ◽  
Case Presentation ◽  
Emergency Cesarean

Abstract Background We report a case in which a list of high-risk pregnant women on cloud-based business communication tools was useful in formulating an anesthetic plan for unscheduled cesarean section. Case presentation A 37-year-old woman, who had been prescribed icosapentate for hypertriglyceridemia, received an antenatal anesthetic evaluation for possible cesarean delivery, and it was agreed that the anesthetic method for emergency cesarean section was general anesthesia if the surgery would take place within 7 days after the discontinuation of the drug, and regional anesthesia if it would take place any time later. Then this agreement was uploaded on the cloud-based business communication tools, and updated until she delivered her baby via unscheduled cesarean section. Conclusions A cloud-based business communication tools was useful in formulating an anesthesia plan for a patient undergoing a cesarean delivery. However, more discussion would be needed to utilize it in security.

Dermatofibrosarcoma Protuberans Metastatic to the Lung. A Case Report

1992 ◽  
Vol 78 (1) ◽  
pp. 49-51 ◽  
Author(s):  
Prakash K. Patil ◽  
Snehal G. Patel ◽  
S. Krishnamurthy ◽  
Rajesh C. Mistry ◽  
Raman K. Deshpande ◽  
...  
Keyword(s):  
Case Report ◽  
World Literature ◽  
Dermatofibrosarcoma Protuberans ◽  
Primary Lesion ◽  
Wide Excision ◽  
Pathologic Features ◽  
The World ◽  
Long Term Follow Up

A case is presented of dermatofibrosarcoma protuberans of the gluteal region with metastasis to the lung appearing 7 years after wide excision of the primary lesion. The world literature is reviewed. The clinical and pathologic features of dermatofibrosarcoma are reviewed and treatment is discussed, with the aim of emphasizing the need for long-term follow-up examination of lymph nodes and for metastases following wide excision of these lesions.

scholarly journals A Local Skin Flap for a Deformed Colostomy with Peristomal Granuloma Formation Related to Colostomal Ischemic Changes and Peristomal Dermatitis

2015 ◽  
Vol 68 (2) ◽  
pp. 97-102
Author(s):  
Takeshi Ueda ◽  
Shinji Nakamura ◽  
Fumikazu Koyama ◽  
Tadashi Nakagawa ◽  
Naoto Nishigori ◽  
...  
Keyword(s):  
Skin Flap ◽  
Granuloma Formation ◽  
Local Skin ◽  
Local Skin Flap

scholarly journals The First Stage of Acquired Syndactyly Reconstruction - A Rare Case Report

2022 ◽  
Vol 12 (1) ◽  
pp. 87-91
Author(s):  
Lucretya Yeniwati Tanuwijaya ◽  
Agus Roy Rusly Hariantana Hamid ◽  
I Gusti Putu Hendra Sanjaya
Keyword(s):  
Case Report ◽  
Skin Graft ◽  
Skin Flap ◽  
Donor Site ◽  
Surgical Techniques ◽  
Operation Time ◽  
Donor Site Morbidity ◽  
Reconstruction Procedure ◽  
Local Skin ◽  
And Function

Background: Acquired syndactyly is a very rare disorder on the interdigital area. Syndactyly with only soft tissue involvement can be a sequela of trauma, such as burn, inflammation or infection in the interdigital area, resulting in bony fusion following crush injury. Case Report: An 8-year-old boy came to our department with fusion from the base to the tip of the first to fourth right toes since the accidental step on burnt plastic 5 years ago. He complained of a poor appearance and discomfort when walking. Then we performed zigzag incision for first to second toes and third to fourth toes. Skin graft closure was performed to cover the defect on third to fourth toes. The second reconstruction surgery will be scheduled 6 months later. Discussion: The surgical techniques for foot syndactyly were derived from those for hand syndactyly, which are to separate the digital fusion by creating local skin flap. Additionally, skin graft might be necessary when recent surgeons avoid the use of skin graft for open treatment, primary closure by defatting, or intricate local flaps. These can shorten the operation time and minimize donor site morbidity. However, surgeons should consider the free tension closure of the wound by combining the skin graft after the flap. Conclusion: Reconstruction procedure for foot syndactyly aims to improve the appearance and function of the toes as well as to avoid progressive deformity through development. The skin graft addition in combination of skin flap shows promising outcome. Key words: acquired syndactyly, syndactyly reconstruction, zigzag flap, skin graft.

scholarly journals Novel technique to manage pacemaker exposure with buried flap reconstruction: case series

Heart Asia ◽  
2019 ◽  
Vol 11 (1) ◽  
pp. e011086 ◽  
Author(s):  
Raja Tiwari ◽  
Shruti Marwah ◽  
Ambuj Roy ◽  
Maneesh Singhal
Keyword(s):  
Soft Tissue ◽  
Skin Flap ◽  
Soft Tissue Coverage ◽  
Superficial Infection ◽  
Local Skin ◽  
Cardiology Department ◽  
Initial Stage ◽  
Invasive Infections ◽  
Local Skin Flap ◽  
Surgical Options

ObjectiveExposure of implantable electrical devices may increase morbidity and mortality significantly. Usually superficial infections are conservatively managed whereas invasive infections necessitate complete capsulectomy, sub-pectoral placement or implant exchange. Most commonly inadequate soft tissue coverage, soft tissue thinning and scar dehiscence over the edge of the pacemaker are the primary predisposing event. Multiple local surgical options have been described, however, with all these designs, the final scar still remains over the edge of the pacemaker and continue to have a tendency of thinning out with time. We have described a local skin flap which can be de-epithelialized and partially buried under the skin to increase the thickness over the pacemaker edge, thereby preventing further recurrence.MethodsThree patients admitted in the Cardiology Department presented with impending exposure (n=2)and exposed implant (n=1) over the edge of pacemaker with superficial infection. Local modified rotation skin flap which was de-epithelialized and partially buried under the skin to increase the thickness over the pacemaker edge was performed under local anaesthesia in all the cases.ResultsFlaps settled well in all patients with no evidence of infection, scar dehiscence and recurrence over a follow-up period of 2 years.ConclusionsThis flap technique is recommended for cases of impending pacemaker exposure resulting due to scar dehiscence over the edge and helps by addressing the predisposing factors at an initial stage. In our experience, this technique also helped to salvage exposed pacemaker with superficial infection. To our bestof knowledge this technique has not been described before in the literature.

scholarly journals Endoscopic submucosal tunnel dissection for a giant adenoma of the cecum (case report)

2021 ◽  
Vol 20 (1) ◽  
pp. 41-45
Author(s):  
O. M. Iugai ◽  
D. A. Mtvralashvili ◽  
A. A. Likutov ◽  
Yu. E. Vaganov
Keyword(s):  
Case Report ◽  
High Risk ◽  
Villous Adenoma ◽  
Ileocecal Valve ◽  
Tumor Site ◽  
Endoscopic Removal ◽  
Case Presentation ◽  
Submucosal Tunnel ◽  
Successful Removal ◽  
Endoscopic Submucosal Tunnel Dissection

Endoscopic removal of giant adenomas of the cecum is associated with high risk of perforation and conversion to laparoscopic procedure. Endoscopic submucosal dissection for cecal adenomas had technical limitations due to the adjacent ileocecal valve and appendix opening, perpendicular operating angle. Case presentation of the possibility of successful removal of a large laterally spreading cecal adenoma by the method of endoscopic submucosal tunnel dissection (ESTD) never been described before for this tumor site and size. Patient 54 years old, an LST-G adenoma (5 cm in diameter, according to Kudo – IIIL, according to Sano – II) was detected in the dome of the cecum during colonoscopy. ESTD. The postoperative period without any unfavorable events; the patient was discharged on the 5th day after surgery. The morphological conclusion: tubulo-villous adenoma with moderate epithelial dysplasia, R0. ESTD is suitable for cecal giant adenomas.

scholarly journals Rare giant dermatofibrosarcoma protuberans with uncommon fibrosarcomatous transformation - case report and review of literature

2021 ◽  
Vol 8 (10) ◽  
pp. 3171
Author(s):  
Manisha Aggarwal ◽  
Dinesh Manchikanti ◽  
Sunayana Misra ◽  
Shaji Thomas ◽  
Ashish Arsia ◽  
...  
Keyword(s):  
Clinical Course ◽  
Dermatofibrosarcoma Protuberans ◽  
Distant Metastases ◽  
Metastatic Potential ◽  
Recurrence Risk ◽  
Skin Tumor ◽  
Rapid Progression ◽  
Split Skin Grafting ◽  
Aggressive Clinical Course ◽  
Slow Growing

Dermatofibrosarcoma protuberans (DFSP) is a rare soft tissue sarcoma with aggressive local behavior but with a low metastatic potential. Although slow growing and indolent, they rarely reach huge sizes. Very uncommonly, these locally invasive tumors undergo fibrosarcomatous transformation with a more aggressive clinical course, with higher rate of recurrence risk and distant metastases. A 32-years-old lady, presented with a gradually progressive lump in the upper central back for the past 6 years, with rapid progression in size during the last 6 months. On examination, she had a single lump of size 18×18 cm in the midline of the upper back, with prominent veins over its surface. Magnetic resonance imaging (MRI) showed no connection with the spinal canal and appeared flush with the paraspinal muscles. Core needle biopsy showed DFSP. The patient underwent a wide local excision with split skin grafting. The histopathology now showed a fibrosarcomatous transformation of DFSP. The patient again underwent a wide re-excision with a 3 cm margin. Histology reported no evidence of tumor cells in the specimen. The patient’s postoperative period was uneventful and she was referred for adjuvant radiotherapy. DFSP is a rare, slow-growing malignant fibroblastic mesenchymal skin tumor with low metastatic potential. However, in any patient with long standing DFSP with a recent increase in size, this fibrosarcomatous transformation must be kept in mind as it represents an uncommon form of DFSP that tends to follow a more aggressive clinical course, with higher rate of recurrence risk and distant metastases.

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