Subcutaneous calcification in the pectoralis major flap: a late complication of radiotherapy

Heterotopic calcification following radiotherapy is a very rare event. Here, we report a case of a patient who underwent surgical intervention including pectoralis major flap reconstruction for locally advanced pharyngolaryngeal squamous cell carcinoma with skin invasion. He was followed up post-ope...

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Bibliographic Details
Published in:British journal of radiology 2011-11, Vol.84 (1007), p.e221-e225
Main Authors: Plzak, J, Kalitova, P, Urbanova, M, Betka, J
Format: Article
Language:English
Subjects:
Adjuvants
Aged
Calcification
Calcification (ectopic)
Calcinosis - etiology
Carcinoma, Squamous Cell - pathology
Carcinoma, Squamous Cell - radiotherapy
Case Report
Case reports
Head and Neck Neoplasms - pathology
Head and Neck Neoplasms - radiotherapy
Humans
Male
Neck
Neoplasm Invasiveness
Pectoralis Muscles - pathology
Pectoralis Muscles - radiation effects
Pectoralis Muscles - transplantation
Radiation
Radiotherapy
Radiotherapy, Adjuvant - adverse effects
Skin
Skin Neoplasms - secondary
squamous cell carcinoma
Surgical Flaps - adverse effects
Surgical Flaps - pathology
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Summary:Heterotopic calcification following radiotherapy is a very rare event. Here, we report a case of a patient who underwent surgical intervention including pectoralis major flap reconstruction for locally advanced pharyngolaryngeal squamous cell carcinoma with skin invasion. He was followed up post-operatively with adjuvant radiotherapy. 13 years after the treatment, suspect resistance in the myocutaneous flap region appeared and was diagnosed as a calcification. To date, the occurrence of subcutaneous calcification in the myocutaneous flap in the neck has not been described as a late complication of neck irradiation.
ISSN:0007-1285
1748-880X
DOI:10.1259/bjr/29175509