Kasık flebi donör alanına tümör implantasyonu
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Dosyalar
Tarih
2006
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Agresif seyreden ve lokal nüks olasılığı yüksek tümörlerde, eksizyon sonrası oluşan defektin eş zamanlı onarımında kullanılan fleplerin donör alanları, tümör hücresi ekilme riski altındadır. Yetmiş beş yaşında, erkek hasta polikliniğimize sol kasığında iki yıldır iyileşmeyen yara şikayeti ile başvurdu. Hastanın yedi yıl önce sol avucunda beş yıl içinde büyüyen kitle kliniğimizde eksize edilmiş, oluşan defekt sol kasık saplı flebi ile onarılmıştı. Yapılan kasık flebi ameliyattan üç hafta sonra ayrılmıştı. Kitlenin patolojik inceleme sonucu hemanjioendotelioma olarak rapor edilmiş ve cerrahi sınırlarda tümöre rastlanmamıştı. Kasıktaki tümör eksize edildi ve oluşan defekt, sağ uyluktan alınan kısmi kalınlıkta deri grefti ile onarıldı, ayrıca eş zamanlı inguinal diseksiyon yapıldı. Tümöral dokunun histopatolojik tanısı hemangioendotelioma olarak geldi. Sonuç olarak, tümör cerrahisi ile eş zamanlı rekonstrüksiyon uygulanan vakalarda, operasyon sırasında tümör hücrelerinin ekilmesini engelleyecek önlemlere dikkat edilmesi ve hastaların geç dönem takiplerinde donör bölgenin de nüks açısından dikkatli kontrol edilmesi uygundur.
The donor-site of flaps that are used for immediate reconstruction of defects performed after excision of aggressive tumors, are also under the risk of tumor implantation. A 75-year-old man had a tumor on left inguinal area. In his history he had tumor on left hand which had grown gradually in five years. The tumor was excised and the defect was reconstructed with left pedicled inguinal flap. The flap was divided three weeks later. Histopathological analysis was reported as hemangioendothelioma. Tumor recurrence at the flap donor site was observed seven years after the initial operation. The tumor on left inguinal area was excised and the defect was reconstructed with skin graft taken from right thigh and simultaneous inguinal dissection was performed. Histopatological analysis was confirmed as hemangioendothelioma. In conclusion during aggressive tumor excision and immediate reconstruction measures for prevention of implantation of tumor cells to the donor site and careful investigation of the donor site for recurrence during the late follow-up period are important.
The donor-site of flaps that are used for immediate reconstruction of defects performed after excision of aggressive tumors, are also under the risk of tumor implantation. A 75-year-old man had a tumor on left inguinal area. In his history he had tumor on left hand which had grown gradually in five years. The tumor was excised and the defect was reconstructed with left pedicled inguinal flap. The flap was divided three weeks later. Histopathological analysis was reported as hemangioendothelioma. Tumor recurrence at the flap donor site was observed seven years after the initial operation. The tumor on left inguinal area was excised and the defect was reconstructed with skin graft taken from right thigh and simultaneous inguinal dissection was performed. Histopatological analysis was confirmed as hemangioendothelioma. In conclusion during aggressive tumor excision and immediate reconstruction measures for prevention of implantation of tumor cells to the donor site and careful investigation of the donor site for recurrence during the late follow-up period are important.
Açıklama
Anahtar Kelimeler
Tümör İmplantasyonu, Flep Donör Alanı, Tumor Implantator, Flap Donor Site
Kaynak
Türk Plastik Rekonstrüktif ve Estetik Cerrahi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
14
Sayı
3
