Metastatic spread of floor of the mouth squamous cell carcinoma via pectoralis major myocutaneous flap.
In a patient with recurrent head and neck squamous cell carcinoma, reconstruction of the floor of the mouth was carried out by transposition of a pectoralis major myocutaneous flap after composite resection. Twelve months after surgery, a chest wall metastasis corresponding to the site of the vascular pedicle was observed. It appears that the lymphatic and hematogenous tumor spread can occur along the vascular pathways of a transposed myocutaneous flap.
D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001761:Bleomycin / Q000008:administration & dosage; D002294:Carcinoma, Squamous Cell / Q000473:pathology / Q000556:secondary / Q000628:therapy*; D003131:Combined Modality Therapy; D006801:Humans; D008297:Male; D008727:Methotrexate / Q000008:administration & dosage; D009060:Mouth Floor; D009062:Mouth Neoplasms / Q000473:pathology / Q000628:therapy*; D037981:Neck Dissection; D009364:Neoplasm Recurrence, Local / Q000473:pathology / Q000628:therapy; D010166:Palliative Care; D011879:Radiotherapy Dosage; D013524:Surgical Flaps; D013899:Thoracic Neoplasms / Q000473:pathology / Q000556:secondary* / Q000628:therapy; D013997:Time Factors; D014750:Vincristine / Q000008:administration & dosage
D001761:Bleomycin; D014750:Vincristine; D008727:Methotrexate