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Wide resection and extensive reconstruction of soft tissue sarcomas in the upper limb. A case report.
Hua, Zhanqiang; Ye, Qingrong; Yan, Wangjun; Wu, Zhiqiang.
Afiliación
  • Hua Z; Department of Orthopedics, Shanghai Electric Power Hospital, Shanghai 200050, China.
  • Ye Q; Department of Musculoskeletal Oncology, Fudan University Shanghai Cancer Center, Shanghai 200032, China; Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China.
  • Yan W; Department of Musculoskeletal Oncology, Fudan University Shanghai Cancer Center, Shanghai 200032, China; Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China. Electronic address: yanwj@fudan.edu.cn.
  • Wu Z; Department of Musculoskeletal Oncology, Fudan University Shanghai Cancer Center, Shanghai 200032, China; Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China. Electronic address: 22111230076@m.fudan.edu.cn.
Int J Surg Case Rep ; 117: 109530, 2024 Apr.
Article en En | MEDLINE | ID: mdl-38518472
ABSTRACT

INTRODUCTION:

Upper limb soft tissue sarcomas are extremely rare and can be misdiagnosed as benign, leading to unplanned excisions. Unplanned excisions and local recurrences pose significant challenges for the subsequent treatment of patients. PRESENTATION OF CASE A patient with a forearm soft tissue sarcoma who underwent unplanned excisions and experienced multiple recurrences. In the most recent treatment, she underwent wide tumor excision combined with thigh free flap transplantation for reconstruction. The reconstruction surgery successfully addressed the extensive soft tissue defect. During the three-year follow-up, there was no tumor recurrence observed, alongside the restoration of upper arm function.

DISCUSSION:

Challenges and considerations in the treatment of soft tissue sarcomas (STS) are discussed.

CONCLUSION:

Unplanned excisions and local recurrences of upper limb soft tissue sarcomas present significant challenges for surgery. Patients should be referred to specialized cancer centers for multidisciplinary diagnosis and treatment.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Int J Surg Case Rep Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Países Bajos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Int J Surg Case Rep Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Países Bajos