Giant Cell Tumor of Tendon Sheath Developed over Chimeric-Free Latissimus Dorsi and Serratus Anterior Muscle Flaps
| Autor: | Dimosthenis Tsoutsos, Sofia Pappa, Akrivi Kostopoulou, Athanasios Karonidis |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Serratus anterior muscle business.industry medicine.medical_treatment Soft tissue Free flap 030105 genetics & heredity medicine.disease Proteus syndrome Surgery 03 medical and health sciences Giant-cell tumor of the tendon sheath Tendon sheath 0302 clinical medicine Amputation Giant cell medicine business 030217 neurology & neurosurgery |
| Zdroj: | J Hand Microsurg |
| Popis: | This article describes a rare case of giant cell tumor of the tendon sheath (GCTTS) that was developed over the substance of chimeric-free latissimus dorsi and serratus anterior muscle flaps performed for lower limb reconstruction. To our knowledge, development of GCTTS over a free flap is first described in the literature. A 71-year-old woman was presented with a large protuberant ulcerated tumor mass that was developed over the substance of chimeric free muscle flaps at the foot and ankle. We performed an extensive tumor resection, and the pathology report confirmed the presence of a primary giant cell tumor. The patient was advised to have a below-knee amputation. However, the patient refused the amputation, and 4 months later, she was presented with a metastatic mass proximally at the upper thigh. We believe that the GCTTS was associated with the chronic inflammation of the soft tissue and bones along with the recurrent episodes of infection, mainly due to proteus mirabilis and proteus syndrome (PS). PS may lead to the development of malformations and overgrowth of different tissues in unusual locations. In cases resistant to antibiotics, the radical surgical debridement should be considered as the most effective treatment. |
| Databáze: | OpenAIRE |
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