Surgical Excision of Mycosis Fungoides Using Thumb-Sparing Reconstruction
| Autor: | Ashley Kim, Giancarlo McEvenue, Paul Binhammer |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Skin Neoplasms Case Reports Thumb Surgical Flaps 03 medical and health sciences Mycosis Fungoides 0302 clinical medicine Thumb amputation Humans Medicine Orthopedics and Sports Medicine 030212 general & internal medicine Aged Mycosis fungoides medicine.diagnostic_test business.industry Soft tissue Magnetic resonance imaging Plastic Surgery Procedures Hand medicine.disease Magnetic Resonance Imaging Surgery body regions medicine.anatomical_structure 030220 oncology & carcinogenesis Upper limb Female Surgical excision business |
| Zdroj: | HAND. 12:NP22-NP26 |
| ISSN: | 1558-9455 1558-9447 |
| DOI: | 10.1177/1558944716669085 |
| Popis: | Background: The differential for soft tissue tumors of the hand and upper limb is broad. Hematologic malignancy remains quite low on the differential for soft tissue tumors involving the hand, and there is little in the literature describing surgical management of such cutaneous manifestations. When the tumor is large or involves the thumb, careful consideration of reconstructive options is required. Methods: We present a rare case of an aggressively enlarging mycosis fungoides, a cutaneous T-cell lymphoma tumor, involving the thumb. This tumor had a history of multiple failed treatment attempts, including radiation and chemotherapy. Results: Our surgical plan was a reverse radial forearm osteocutaneous flap. Conclusion: A reverse radial osteocutaneous forearm flap was successfully used to avoid thumb amputation and preserve thumb function. |
| Databáze: | OpenAIRE |
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