Split-skin Paddle Anterolateral Thigh Flap for Reconstruction of Giant Dermatofibrosarcoma Protuberans in Groin

Dermatofibrosarcoma protuberans (DFSP) is a slow-growing superficial sarcoma. Due to its high late local recurrence, thin skin graft is usually recommended for reconstruction after resection of the tumor. In this report, we present a case of giant DFSP in the groin region of young woman. Reconstruct...

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Bibliographic Details
Published in:Plastic and reconstructive surgery. Global open 2019-12, Vol.7 (12), p.e2528-e2528
Main Authors: Fukuta, Taro, Ichikawa, Yuichi, Mizuno, Hiroshi, Hayashi, Ayato
Format: Article
Language:English
Subjects:
Case Report
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Summary:Dermatofibrosarcoma protuberans (DFSP) is a slow-growing superficial sarcoma. Due to its high late local recurrence, thin skin graft is usually recommended for reconstruction after resection of the tumor. In this report, we present a case of giant DFSP in the groin region of young woman. Reconstruction of large groin defect after DFSP resection was performed by “split-skin paddle anterolateral thigh flap” instead of skin graft considering that the patient was a 29-year-old woman. This method enabled the primary closure of the donor site and provided the positive functional and esthetic outcomes. In the present case, the surgical scar is less conspicuous and the patient can climb and descend stairs without any trouble at 4 years after the surgery. With careful monitoring of the tumor recurrence, this technique may become a reliable reconstruction option for patients with large groin defect after resection of the malignant tumor.
ISSN:2169-7574
2169-7574
DOI:10.1097/GOX.0000000000002528