Use of a Fascia Lata Autograft to Reconstruct a Large Triceps Tendon Defect After En-Bloc Resection of a Soft-Tissue Sarcoma

2020 ◽  
Vol 10 (1) ◽  
pp. e0390-e0390
Author(s):  
Rachel Clancy ◽  
Zachary Lim ◽  
Robert A. Ravinsky ◽  
Anne O'Neill ◽  
Peter Ferguson ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Sarcoma ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Fascia Lata ◽  
En Bloc ◽  
Tendon Defect ◽  
Triceps Tendon

Adjuvant Radiation for Soft Tissue Sarcomas

2015 ◽  
pp. e634-e642 ◽  
Author(s):  
Colleen I. Dickie ◽  
Rick Haas ◽  
Brian O'Sullivan
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Sarcoma ◽  
Local Control ◽  
Soft Tissue Sarcomas ◽  
Intensity Modulated Radiotherapy ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Surgical Approaches ◽  
Adjuvant Radiation ◽  
En Bloc

Over recent decades, limb-preservation surgery in combination with radiotherapy achieves local control rates exceeding 90% for extremity soft tissue sarcoma (STS). Local control is not as successful for retroperitoneal sarcoma (approximately 60%) despite aggressive surgical approaches including en bloc resection of uninvolved adjacent organs combined with intensity modulated radiotherapy (IMRT). This review will discuss the indications for adjuvant radiation therapy (RT) for primary presentation of soft tissue sarcoma: “What,” referring to the type and manner of planning and delivery of RT; “When,” referring to the timing and scheduling of RT; and “Why,” referring to the rationale for the use of RT will be addressed. From a practical stand point, this Educational Chapter on “adjuvant RT” will focus on pre- and postoperative RT in the context of gross total resection for extremity and retroperitoneal soft tissue sarcoma, the two most frequent paradigms for the use of adjuvant RT.

Myofibroma of the cervical spine presenting as brachialgia

2014 ◽  
Vol 21 (6) ◽  
pp. 916-918 ◽  
Author(s):  
Benjamin M. Davies ◽  
Daniel du Plessis ◽  
Kanna K. Gnanalingham
Keyword(s):  
Soft Tissue ◽  
Facet Joint ◽  
Surgical Excision ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Benign Tumors ◽  
Histopathological Analysis ◽  
En Bloc ◽  
Left Posterior ◽  
Midline Approach

Myofibromas are rare, benign tumors of myofibroblasts. Their occurrence in adults, involving bone outside of the head and neck, is especially uncommon. The authors report the case of a 34-year-old woman who presented with left-sided brachialgia. Magnetic resonance imaging identified an expansile soft-tissue lesion of the C6–7 facet joint. En bloc resection via a left posterior midline approach was undertaken. Histopathological analysis confirmed the lesion to be a myofibroma. Brachialgia resolved following surgery and there is no evidence of recurrence at 20 months follow-up. Myofibroma is a rare cause of primary soft-tissue tumor of the spine. Surgical excision remains the mainstay of treatment.

scholarly journals Recurrent giant cell tumour of the distal ulna after en bloc resection with preoperative denosumab use

2021 ◽  
Vol 14 (11) ◽  
pp. e245022
Author(s):  
Nasa Fujihara ◽  
Shunsuke Hamada ◽  
Masahiro Yoshida ◽  
Satoshi Tsukushi
Keyword(s):  
Soft Tissue ◽  
Giant Cell ◽  
Giant Cell Tumour ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Cell Tumour ◽  
Distal Ulna ◽  
En Bloc ◽  
Grade Ii ◽  
Grade Iii

In recent years, denosumab has been used to treat giant cell tumour of bone (GCTB) not only in cases where surgery is complicated but also preoperatively to decrease the preoperative grade or to facilitate surgery for Campanacci grade II and III cases. However, there are no clear protocols regarding the preoperative use of denosumab before en bloc resection. There are a few reports of recurrent cases after en bloc resection; however, the association with the use of denosumab is unknown. We present the clinical, radiological and histopathological findings of a case of Campanacci grade III GCTB at the distal end of the ulna, which resulted in soft tissue recurrence after en bloc resection with the preoperative use of denosumab.

En-bloc resection of soft-tissue sarcoma of anterior chest wall and reconstruction with titanium bars and free anterolateral thigh flap

2021 ◽  
Vol 14 (7) ◽  
pp. e241603
Author(s):  
Walter Sebastián Nardi ◽  
Agustin Buero ◽  
Leonardo Pankl ◽  
Sergio Damián Quildrian
Keyword(s):  
Soft Tissue ◽  
Chest Wall ◽  
Soft Tissue Sarcomas ◽  
En Bloc Resection ◽  
Anterior Chest Wall ◽  
Bloc Resection ◽  
Anterolateral Thigh Flap ◽  
En Bloc ◽  
Complete Surgical Resection ◽  
Anterolateral Thigh

Primary soft-tissue sarcomas (STSs) of the chest wall are uncommon. Complete surgical resection remains the mainstay of treatment being sternal resection ocassionally required. We present a 25-year-old man with an anterior chest wall STS. The patient underwent complete oncological resection with reconstruction using titanium bars combined with a free vascularised anterolateral thigh flap. STSs of the chest wall are very rare and they comprise a surgical challenge for both resection and reconstruction.

Reconstruction of the pelvis and lumbar-pelvic junction using 2 vascularized autologous bone grafts after en bloc resection for an iliosacral chondrosarcoma

2011 ◽  
Vol 15 (2) ◽  
pp. 168-173 ◽  
Author(s):  
Ehud Mendel ◽  
Joel L. Mayerson ◽  
Narendra Nathoo ◽  
Rick L. Edgar ◽  
Carl Schmidt ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Lower Extremity ◽  
Pelvic Ring ◽  
Bone Grafts ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Soft Tissue Defect ◽  
Reconstruction Technique ◽  
Pelvic Reconstruction ◽  
En Bloc

Primary pelvic sarcomas remain challenging and complex surgical problems with significant potential for postoperative impairment of ambulation, as well as bowel, bladder, and sexual function. En bloc resection with negative tumor margins represents the best chance of control or cure as current adjuvant therapies remain ineffective. Tumor involvement of the sacrum with extension to the greater sciatic notch and ipsilateral ilium requires an external hemipelvectomy and sagittal sacrectomy with sacrifice of the lower extremity to achieve en bloc resection, followed by lumbar-pelvic reconstruction. A patient with an iliosacral chondrosarcoma is presented to illustrate a novel lumbar-pelvic reconstruction technique, in which vascularized soft tissue and 2 vascularized bone grafts were harvested from the amputated lower extremity and transferred to the pelvis as composite flaps to restore pelvic ring integrity, augment lumbar-pelvic fusion, and close the soft-tissue defect. The biomechanical dynamics of this unique construct are discussed.

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