Anterior thigh myocutaneous flap for reconstruction after external hemipelvectomy performed to treat a buttock squamous cell carcinoma: case report
Autor(a) principal: | |
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Data de Publicação: | 2002 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista Brasileira de Cancerologia (Online) |
Texto Completo: | https://rbc.inca.gov.br/index.php/revista/article/view/2237 |
Resumo: | Hemipelvectomy utilizing an anterior myocutaneous flap is indicted for extensive tumors of the buttock and posterior proximal portion of the thigh. A 49-year-old man came to the clinic with a tumor that had been progressively growing over three years. It was at the left buttock, and originated from an area of a previous scar and chronic ulceration. The tumor was infected and ulcerated, infiltrating to skin, subcutaneous fat, and gluteal musculature, being fixed to the iliac bone, hip joint and great trocanter. A CT-scan of the area showed infiltration of the structures above. An open biopsy was done and revealed a squamous cell carcinoma. External hemipelvectomy was the treatment option. A large defect was created after resection of the lower extremity, hemipelvis and buttock. An anterior myocutaneous flap of the quadriceps femoris, adductors, sartorius, pectineum and gracilis muscles with overlying subcutaneus fat and skin was done. The femoral vessels were used to mantain the flap viable. The post-operative course was uneventful and the flap remained fully viable. Some aspects of the technique are presented. |
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Anterior thigh myocutaneous flap for reconstruction after external hemipelvectomy performed to treat a buttock squamous cell carcinoma: case reportReconstrução com retalho miocutâneo anterior da coxa após hemipelvectomia por carcinoma de células escamosas de região glútea: relato de casoHemipelvectomiaReconstruçãoRetalhos CirúrgicosCoxaHemipelvectomyReconstructionSurgical FlapThighHemipelvectomy utilizing an anterior myocutaneous flap is indicted for extensive tumors of the buttock and posterior proximal portion of the thigh. A 49-year-old man came to the clinic with a tumor that had been progressively growing over three years. It was at the left buttock, and originated from an area of a previous scar and chronic ulceration. The tumor was infected and ulcerated, infiltrating to skin, subcutaneous fat, and gluteal musculature, being fixed to the iliac bone, hip joint and great trocanter. A CT-scan of the area showed infiltration of the structures above. An open biopsy was done and revealed a squamous cell carcinoma. External hemipelvectomy was the treatment option. A large defect was created after resection of the lower extremity, hemipelvis and buttock. An anterior myocutaneous flap of the quadriceps femoris, adductors, sartorius, pectineum and gracilis muscles with overlying subcutaneus fat and skin was done. The femoral vessels were used to mantain the flap viable. The post-operative course was uneventful and the flap remained fully viable. Some aspects of the technique are presented.Hemipelvectomia utilizando retalho miocutâneo anterior é indicada para tumores extensos da região glútea e parte posterior proximal da coxa. Um paciente do sexo masculino com 49 anos apresentou-se para tratamento de tumor ulcerado e infectado com crescimento progressivo há 3 anos em região glútea esquerda, originado de uma área de ulceração e cicatrização crônicas provocadas pela aplicação de múltiplas injeções de drogas ilícitas no local. O tumor infiltrava a pele, tecido celular subcutâneo e musculatura glútea, estando fixo ao osso ilíaco, articulação coxo-femural e trocanter maior. A tomografia computadorizada da pelve confirmou os achados do exame físico. A biópsia aberta foi realizada e revelou um carcinoma de células escamosas. Hemipelvectomia externa foi a opção escolhida para o tratamento. Um grande defeito foi criado após ressecção da extremidade inferior, hemipélvis e glúteo. Um retalho miocutâneo anterior do músculo quadríceps femural, adutores, sartório, pectíneo e grácil com pele e tecido celular subcutâneo sobrejacentes foi realizado. Os vasos femurais foram utilizados para manter o retalho viável. A recuperação pós-operatória aconteceu sem intercorrências e o retalho permaneceu totalmente viável. Alguns aspectos da técnica são apresentados.INCA2002-06-28info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionRelato de Casoapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/223710.32635/2176-9745.RBC.2002v48n2.2237Revista Brasileira de Cancerologia; Vol. 48 No. 2 (2002): Apr./May/June; 253-256Revista Brasileira de Cancerologia; Vol. 48 Núm. 2 (2002): abr./mayo/jun.; 253-256Revista Brasileira de Cancerologia; v. 48 n. 2 (2002): abr./maio/jun.; 253-2562176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/2237/1391Corrêa, Danton SpohrRossi, Benedito Mauro Ferreira, Fábio de Oliveira Nakagawa, Wilson Toshihiko Guimarães, Gustavo Cardoso Lopes, Ademar info:eu-repo/semantics/openAccess2021-11-29T20:38:59Zoai:rbc.inca.gov.br:article/2237Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2021-11-29T20:38:59Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false |
dc.title.none.fl_str_mv |
Anterior thigh myocutaneous flap for reconstruction after external hemipelvectomy performed to treat a buttock squamous cell carcinoma: case report Reconstrução com retalho miocutâneo anterior da coxa após hemipelvectomia por carcinoma de células escamosas de região glútea: relato de caso |
title |
Anterior thigh myocutaneous flap for reconstruction after external hemipelvectomy performed to treat a buttock squamous cell carcinoma: case report |
spellingShingle |
Anterior thigh myocutaneous flap for reconstruction after external hemipelvectomy performed to treat a buttock squamous cell carcinoma: case report Corrêa, Danton Spohr Hemipelvectomia Reconstrução Retalhos Cirúrgicos Coxa Hemipelvectomy Reconstruction Surgical Flap Thigh |
title_short |
Anterior thigh myocutaneous flap for reconstruction after external hemipelvectomy performed to treat a buttock squamous cell carcinoma: case report |
title_full |
Anterior thigh myocutaneous flap for reconstruction after external hemipelvectomy performed to treat a buttock squamous cell carcinoma: case report |
title_fullStr |
Anterior thigh myocutaneous flap for reconstruction after external hemipelvectomy performed to treat a buttock squamous cell carcinoma: case report |
title_full_unstemmed |
Anterior thigh myocutaneous flap for reconstruction after external hemipelvectomy performed to treat a buttock squamous cell carcinoma: case report |
title_sort |
Anterior thigh myocutaneous flap for reconstruction after external hemipelvectomy performed to treat a buttock squamous cell carcinoma: case report |
author |
Corrêa, Danton Spohr |
author_facet |
Corrêa, Danton Spohr Rossi, Benedito Mauro Ferreira, Fábio de Oliveira Nakagawa, Wilson Toshihiko Guimarães, Gustavo Cardoso Lopes, Ademar |
author_role |
author |
author2 |
Rossi, Benedito Mauro Ferreira, Fábio de Oliveira Nakagawa, Wilson Toshihiko Guimarães, Gustavo Cardoso Lopes, Ademar |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Corrêa, Danton Spohr Rossi, Benedito Mauro Ferreira, Fábio de Oliveira Nakagawa, Wilson Toshihiko Guimarães, Gustavo Cardoso Lopes, Ademar |
dc.subject.por.fl_str_mv |
Hemipelvectomia Reconstrução Retalhos Cirúrgicos Coxa Hemipelvectomy Reconstruction Surgical Flap Thigh |
topic |
Hemipelvectomia Reconstrução Retalhos Cirúrgicos Coxa Hemipelvectomy Reconstruction Surgical Flap Thigh |
description |
Hemipelvectomy utilizing an anterior myocutaneous flap is indicted for extensive tumors of the buttock and posterior proximal portion of the thigh. A 49-year-old man came to the clinic with a tumor that had been progressively growing over three years. It was at the left buttock, and originated from an area of a previous scar and chronic ulceration. The tumor was infected and ulcerated, infiltrating to skin, subcutaneous fat, and gluteal musculature, being fixed to the iliac bone, hip joint and great trocanter. A CT-scan of the area showed infiltration of the structures above. An open biopsy was done and revealed a squamous cell carcinoma. External hemipelvectomy was the treatment option. A large defect was created after resection of the lower extremity, hemipelvis and buttock. An anterior myocutaneous flap of the quadriceps femoris, adductors, sartorius, pectineum and gracilis muscles with overlying subcutaneus fat and skin was done. The femoral vessels were used to mantain the flap viable. The post-operative course was uneventful and the flap remained fully viable. Some aspects of the technique are presented. |
publishDate |
2002 |
dc.date.none.fl_str_mv |
2002-06-28 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Relato de Caso |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/2237 10.32635/2176-9745.RBC.2002v48n2.2237 |
url |
https://rbc.inca.gov.br/index.php/revista/article/view/2237 |
identifier_str_mv |
10.32635/2176-9745.RBC.2002v48n2.2237 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://rbc.inca.gov.br/index.php/revista/article/view/2237/1391 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
INCA |
publisher.none.fl_str_mv |
INCA |
dc.source.none.fl_str_mv |
Revista Brasileira de Cancerologia; Vol. 48 No. 2 (2002): Apr./May/June; 253-256 Revista Brasileira de Cancerologia; Vol. 48 Núm. 2 (2002): abr./mayo/jun.; 253-256 Revista Brasileira de Cancerologia; v. 48 n. 2 (2002): abr./maio/jun.; 253-256 2176-9745 reponame:Revista Brasileira de Cancerologia (Online) instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) instacron:INCA |
instname_str |
Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
instacron_str |
INCA |
institution |
INCA |
reponame_str |
Revista Brasileira de Cancerologia (Online) |
collection |
Revista Brasileira de Cancerologia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA) |
repository.mail.fl_str_mv |
rbc@inca.gov.br |
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1797042250039951360 |