Reconstruction using a perforator free flap after malignant melanoma resection of the ankle and foot
| Autor: | Young Chul Suh, Jee Suk Chang, Joon Pio Hong, Hyunsuk Peter Suh, Jong S. Lee |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Skin Neoplasms Adolescent medicine.medical_treatment Free flap 030230 surgery Disease-Free Survival Cohort Studies 03 medical and health sciences Young Adult 0302 clinical medicine Quality of life Medicine Humans Child Melanoma Aged Retrospective Studies Aged 80 and over business.industry Foot Retrospective cohort study General Medicine Microsurgery Middle Aged Plastic Surgery Procedures medicine.disease Surgery medicine.anatomical_structure Treatment Outcome Oncology 030220 oncology & carcinogenesis Cohort Female Ankle business Perforator Flap Foot (unit) |
| Zdroj: | Journal of surgical oncology. 116(7) |
| ISSN: | 1096-9098 |
| Popis: | BACKGROUND Surgical excision with adequate margin is the treatment of choice to provide best chance for survival. However, tumors located on distal lower extremity may require reconstruction to salvage the limb which may affect prognosis and quality of life. This retrospective study aimed to evaluate the effect of free flap on overall outcomes of patients with primary malignant melanoma located on the foot and ankle. METHODS Patients with primary malignant melanoma on the leg and foot who required free flap coverage between August 2005 and January 2014 were evaluated. The reconstruction and oncological outcomes were assessed. RESULTS The cohort of 59 patients showed 96.7% successful reconstructive outcomes. The mean duration from surgery to partial weight bearing was 9 days. The 5-year overall survival and 5-year progression-free survival rates were 73.2% and 44%, respectively. The overall VAS-FA score was 94.1 implying excellent functional recovery. CONCLUSION The use of free flaps to close defects after cancer resection can help preserve maximal extremity length and function. This approach does not have negative impact on overall outcome and further provide an increased quality of life with better function. Reconstruction using free flaps should be considered primarily when defects cannot be covered by conventional methods. |
| Databáze: | OpenAIRE |
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