Limb Salvage Surgery in the Excision of a Massive Fibromatosis
| Autor: | Andrew G. Nicholson, Peter Goldstraw, Meirion Thomas, K. C. Redmond, MadhanKumar Kuppusamy, Adam Searle |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
Pulmonary and Respiratory Medicine medicine.medical_specialty Limb salvage surgery Soft Tissue Neoplasm Biopsy Soft Tissue Neoplasms Fibroma Complete resection medicine Humans Neoplasm Invasiveness Thoracic Wall medicine.diagnostic_test business.industry Fibromatosis Limb Salvage medicine.disease Surgery Plastic surgery medicine.anatomical_structure Arm Female Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business Thoracic wall Follow-Up Studies |
| Zdroj: | The Annals of Thoracic Surgery. 92:e53-e55 |
| ISSN: | 0003-4975 |
| Popis: | Fibromatosis is a rare fibroproliferative disorder with a tendency for local infiltrative and destructive growth. Local recurrence is frequent, despite apparent complete resection after radical excision. We present a case of a 22-year-old woman with massive recurrent thoracic fibromatosis extending into the neck and impairing the function of her right upper limb. This required a multidisciplinary approach to surgery to salvage the limb. The case highlights the fact that while every attempt should be made to achieve negative histologic margins, local recurrence is not uncommon. Therefore, if fibromatosis occurs adjacent to or involves vital structures, these should not be sacrificed to achieve negative margins. Function and structure preserving procedures are important as the primary goal, if not even more important. |
| Databáze: | OpenAIRE |
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