| Autor: |
Sunil Agrawala, Pradyumna Kumar Sahoo, Sangram Keshari Panda, Prathamesh Chandrapattan, Chira Khadanga |
| Rok vydání: |
2021 |
| Předmět: |
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| DOI: |
10.21203/rs.3.rs-871686/v1 |
| Popis: |
Background: Pectoralis Major MyoCutaneous (PMMC) flap has been commonly used since decades for plastic reconstruction in oral cavity cancer surgery. However, rarely the PMMC donor site develops tumor recurrence. Management includes surgical resection in unifocal lesion or salvage radical chemoradiotherapy in clinico-radiologically nonmetastatic unresectable disease which results in satisfactory tumor related outcomes.Case presentation: A 46 year gentleman known case of Squamous Cell Carcinoma left Retromolar Trigone after surgery and adjuvant radiotherapy presented with isolated recurrence at PMMC flap donor vascular pedicle site which was abutting left subclavian vein and so was managed with concurrent chemo-radiotherapy with curative intent and is on follow up since 2 years with no evidence of recurrence.Conclusions: Isolated PMMC flap donor site recurrence in oral cavity squamous cell carcinoma management is complex, with surgical intervention with excision of such lesions in absence of any other deposits is preferable approach. Concurrent CTRT is an alternative option in curative intent when the lesion is not surgically resectable or the patient refuses surgery. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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