scholarly journals Recurrent Dermatofibrosarcoma Protuberance: A Case Report

2021 ◽  
Vol 59 (243) ◽  
pp. 1192-1195
Author(s):  
Shiv Raj Shah ◽  
Sujan Regmee ◽  
Dhiresh Kumar Maharjan ◽  
Prabin Bikram Thapa
Keyword(s):  
Histopathological Examination ◽  
Subcutaneous Tissue ◽  
Split Thickness Skin Graft ◽  
Lumbar Region ◽  
Thickness Skin ◽  
Malignant Mesenchymal Tumor ◽  
Long Term Follow Up ◽  
Dermatofibrosarcoma Protuberance ◽  
First Time

Dermatofibrosarcoma protuberance represents less than 0.1% of all tumors, treatment of which requires wide local excision (≥5cm) but recurrence is not rare. Here we present a 32-year male presented with a swelling of 15 x 6cm over the left lumbar region for which he underwent excision three years ago, the histopathological examination of the swelling, showed a malignant mesenchymal tumor and Immunohistochemistry features were suggestive of Dermatofibrosarcoma protuberance. After three years of interval, he again presented with complaints of swelling in the previously operated site for nine months and underwent excision of the mass with Split Thickness Skin Graft. Although the tumor was confined to the skin and subcutaneous tissue in the present case, the patient didn’t undergo any adjuvant radiotherapy to avoid a possible relapse that would infiltrate deeper structures for the first time. Being a recurrent tumor, long-term follow-up is strongly recommended.

An Unusual Presentation of Ossifying Fibromyxoid Tumor of the Mandible: A Case Report

2007 ◽  
Vol 31 (2) ◽  
pp. 136-138 ◽  
Author(s):  
Nur Mollaoglu ◽  
Benay Tokman ◽  
Sevil Kahraman ◽  
Sedat Cetiner ◽  
Sule Yucetas ◽  
...  
Keyword(s):  
Case Report ◽  
Histopathological Examination ◽  
Subcutaneous Tissue ◽  
Soft Tissue Neoplasm ◽  
Unusual Site ◽  
Clinical Behavior ◽  
Long Term Follow Up ◽  
Ossifying Fibromyxoid Tumor

A 13-year-old boy who complained rapid swelling on the left side of mandible is presented. Histopathological examination revealed ossifying fibromyxoid tumor (OFMT). OFMT is a rare soft-tissue neoplasm that occurs usually in the subcutaneous tissue of the extremities. Head and neck involvement is relatively rare. In this case, we present the diagnosis, surgical treatment and long-term follow-up of an OFMT due to its unusual site of occurrence. The precise clinical behavior of atypical and malignant types of OFMTs is still unclear. Thus, histopathology report is important, leading surgeon to decide how often and how long to follow-up patient with OFMT.

scholarly journals Grinspan’s Syndrome: A Rare Case with Malignant Transformation

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Numan Kökten ◽  
Lokman Uzun ◽  
Ayşe Serap Karadağ ◽  
Tülay Zenginkinet ◽  
M. Tayyar Kalcıoğlu
Keyword(s):  
Malignant Transformation ◽  
Lichen Planus ◽  
Buccal Mucosa ◽  
Histopathological Examination ◽  
Split Thickness Skin Graft ◽  
Thickness Skin ◽  
Exophytic Tumor ◽  
History Of ◽  
Stratified Squamous Epithelium

Aim. Oral lichen planus (OLP) is one of the common chronic inflammatory, noninfectious, and precancerous oral mucosal diseases that affect the stratified squamous epithelium in adults. Grinspan et al. reported an association of OLP with diabetes mellitus and vascular hypertension and called that Grinspan’s syndrome in 1966. We aim to present a case of Grinspan’s syndrome with malignant transformation. Case Presentation. A 60-year-old man who presented with a ten-year history of OLP diagnosed clinically and histologically was referred to our otolaryngology department with a painless swallowing in the left buccal mucosa for 3 months. Clinical examination revealed several plaques, striated white lesions in the buccal mucosa bilaterally, and an exophytic tumor in the left buccal mucosa. Histopathological examination showed lichen planus bilaterally and oral squamous cell carcinoma in the left buccal mucosa. The tumor had been developed on the preexisting areas of lichen planus which had been histologically proven before. The tumor was removed completely, and the tissue defect on the buccal mucosa was repaired with a split-thickness skin graft. Conclusion. Patients with OLP should be followed up periodically in a long term at close intervals for early diagnosis of malignant transformation.

scholarly journals Reconstruction of a secondary scalp defect using the crane principle and a split-thickness skin graft

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yi Lu ◽  
Ke-Chung Chang ◽  
Che-Ning Chang ◽  
Dun-Hao Chang
Keyword(s):  
Skin Graft ◽  
Subcutaneous Tissue ◽  
Donor Site ◽  
Split Thickness Skin Graft ◽  
Salvage Procedure ◽  
Primary Defect ◽  
Scalp Defects ◽  
Thickness Skin ◽  
Scalp Defect ◽  
Secondary Defect

Abstract Background Scalp reconstruction is a common challenge for surgeons, and there are many different treatment choices. The “crane principle” is a technique that temporarily transfers a scalp flap to the defect to deposit subcutaneous tissue. The flap is then returned to its original location, leaving behind a layer of soft tissue that is used to nourish a skin graft. Decades ago, it was commonly used for forehead scalp defects, but this useful technique has been seldom reported on in recent years due to the improvement of microsurgical techniques. Previous reports mainly used the crane principle for the primary defects, and here we present a case with its coincidental application to deal with a complication of a secondary defect. Case report We present a case of a 75-year-old female patient with a temporoparietal scalp squamous cell carcinoma (SCC). After tumor excision, the primary defect was reconstructed using a transposition flap and the donor site was covered by a split-thickness skin graft (STSG). Postoperatively, the occipital skin graft was partially lost resulting in skull bone exposure. For this secondary defect, we applied the crane principle to the previously rotated flap as a salvage procedure and skin grafting to the original tumor location covered by a viable galea fascia in 1.5 months. Both the flap and skin graft healed uneventfully. Conclusions Currently, the crane principle is a little-used technique because of the familiarity of microsurgery. Nevertheless, the concept is still useful in selected cases, especially for the management of previous flap complications.

Teenage motherhood and risk of premature death: long-term follow-up in the ONS Longitudinal Study

2011 ◽  
Vol 41 (9) ◽  
pp. 1867-1877 ◽  
Author(s):  
R. T. Webb ◽  
C. E. Marshall ◽  
K. M. Abel
Keyword(s):  
Longitudinal Study ◽  
Social Services ◽  
Reference Group ◽  
Suicide Mortality ◽  
Psychosocial Needs ◽  
Teenage Motherhood ◽  
Long Term Follow Up ◽  
First Time

BackgroundTeenage motherhood is relatively common in the UK, but little is known about related health inequalities in this population. We estimated cause-specific mortality risks over three decades in a nationally representative cohort.MethodWe examined premature mortality in a 1.1% sample of all women who were teenagers in England and Wales during the 1970s, 1980s and 1990s using data from the Office for National Statistics Longitudinal Study (ONS LS). Our primary outcome was suicide. Long-term follow-up to 31 December 2006, to a potential maximum age of 49 years, was achieved through near-complete routine linkage to national mortality records. We created a time-dependent exposure variable, with relative risks estimated according to age when women first experienced motherhood versus a reference group of those currently without children.ResultsWomen who were teenage mothers were around 30% more likely to die prematurely by any cause and almost 60% more likely to die unnaturally, whereas first-time motherhood at mature age conferred lower risk compared to women without children. Teenage motherhood was associated with a more than doubled risk of suicide [mortality rate ratio (MRR) 2.23, 95% confidence interval (CI) 1.30–3.83], and elevated risks of fatal cancer of the cervix and lung were also found. Changing the reference category to first-time mothers at 20 years and above also revealed a significant elevation in risk of accidental death.ConclusionsThe complex psychosocial needs of these women require greater attention from clinicians, public health professionals, social services and policymakers. Their elevated risk of poor health outcomes may persist well beyond the actual teenage motherhood years.

scholarly journals Post-Operative Complications in Tram Flap Breast Reconstruction after Mastectomy

2018 ◽  
Vol 1 (Supplement) ◽  
pp. 47
Author(s):  
S.V. Parasca ◽  
B.F. Iosif ◽  
A. Costeschi ◽  
O. Popescu ◽  
M. Roznovanu
Keyword(s):  
Breast Reconstruction ◽  
Left Breast ◽  
Long Term Results ◽  
Split Thickness Skin Graft ◽  
Tram Flap ◽  
Thickness Skin ◽  
Tissue Reconstruction ◽  
Umbilical Scar ◽  
Reconstructive Techniques

Abstract Introduction. Breast cancer is the main cause of mortality for neoplastic diseases in women worldwide. Since the incidence is increasing every year, the need for reconstructive techniques increases and autologous tissue reconstruction procedures are also gaining ground over the more popular expander/ implant techniques. A hypertensive and obese patient is admitted by SCUCPRA’s Chronic Diseases Service, with a postmastectomy scar on the left breast, with normal aspect. A TRAM Flap is performed through an oblique tunnel for transposing the tissue over the defect. The abdominal defect was covered with polypropylene mesh. Three days post-operatory, the patient presented an umbilical necrotic scar of 6/ 3 cm and a 4/ 3 cm necrotic scar in the medial zone of the TRAM Flap. Materials and method. Four days post-operatory, the patient presented a 10/ 5 cm brown-black colored dehiscent umbilical scar and 2 dehiscent areas of 4/ 1 cm and 5/ 1 cm inferior and superior, on the TRAM Flap. Excisional debridement of the ulceration was performed, and the abdominal defect was covered with a split-thickness skin graft. The TRAM Flap was also debrided and immediate suture was performed. Conclusions and results. Necrosis is an important complication that can occur both at the abdominal level, as well as on the TRAM Flap, after a breast reconstruction, affecting both the general state of the patient and the long-term results of the reconstructive method.

scholarly journals Necrotizing Fasciitis in Neonate and Use of Allograft

2019 ◽  
Vol 8 (1) ◽  
pp. 8
Author(s):  
Nitinkumar Borkar ◽  
Phalguni Padhi ◽  
Jiten Kumar Mishra ◽  
Shamendra Anand Sahu ◽  
Debajyoti Mohanty ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Necrotizing Fasciitis ◽  
Skin Graft ◽  
Subcutaneous Tissue ◽  
Donor Site ◽  
Subcutaneous Fat ◽  
Surgical Debridement ◽  
Split Thickness Skin Graft ◽  
Superficial Fascia ◽  
Thickness Skin

Necrotising fasciitis is a fulminant and rapidly progressive infection of the superficial fascia and subcutaneous tissue. It is rare in newborn. Trunk is the commonest site of involvement in newborns. Early diagnosis and prompt surgical debridement is the preferred treatment. Debridement in NF leads to a large raw area which may not heal by primary intention and may a split thickness skin graft for healing. Presence of minimum subcutaneous fat, loose skin and large raw area at donor site like back in some neonate poses difficulty for harvesting of skin graft. In such neonates allograft make a valuable option temporarily. Herein we report a case of a neonate with NF in whom post debridement raw area was covered with allograft from mother.

A Long-Term Follow-Up and Improvement of the Repair of Incomplete Syndactyly by Web Flap on a Subcutaneous Tissue Pedicle

2009 ◽  
Vol 124 (1) ◽  
pp. 176e-177e ◽  
Author(s):  
Jing-hong Xu ◽  
Xiao-yu Hong ◽  
Jian-min Yao ◽  
Javed Dawreeawo
Keyword(s):  
Subcutaneous Tissue ◽  
Long Term Follow Up

scholarly journals Three-Dimensional Volumetric Restoration by Structural Fat Grafting

2014 ◽  
Vol 7 (1) ◽  
pp. 63-69 ◽  
Author(s):  
Luigi C. Clauser ◽  
Giuseppe Consorti ◽  
Giovanni Elia ◽  
Manlio Galié ◽  
Riccardo Tieghi
Keyword(s):  
Adipose Tissue ◽  
Three Dimensional ◽  
Fat Grafting ◽  
Fat Injection ◽  
Facial Esthetics ◽  
Long Term Follow Up ◽  
The 19Th Century ◽  
First Time

The use of adipose tissue transfer for correction of maxillofacial defects was reported for the first time at the end of the 19th century. Structural fat grafting (SFG) was introduced as a way to improve facial esthetics and in recent years has evolved into applications in craniomaxillofacial reconstructive surgery. Several techniques have been proposed for harvesting and grafting the fat. However, owing to the damage of many adipocytes during these maneuvers, the results have not been satisfactory and have required several fat injection procedures for small corrections. The author's (L.C.) overview the application of SFG in the management of volumetric deficit in the craniomaxillofacial in patients treated with a long-term follow-up.

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