[Perineal giant cell fibroblastoma in a five years old boy managed with micrographic surgery and local reconstruction with a posterior perforator thigh flap].
A report of a five-year-old male child diagnosed as a recurrent perineal giant cell fibroblasoma is described. Complete tumour removal was obtained with micrographic surgery and complete pathological analysis of the limits of the tumour with the "technique verticale modifiée" developed in our institution. The closure of the operative wound was performed with a posterior perforator thigh flap based on the descending branch of the inferior gluteal vessels. Thanks to these new surgical and pathological approaches, the complete removal of this recurring tumour was achieved with acceptable oncologic, fonctionnal and cosmetic results in this young child.
Pachet
C
C
Service de chirurgie plastique, département de chirurgie cervicofaciale et ORL, institut de cancérologie Gustave-Roussy, 39, rue Camille-Desmoulins, 94805 Villejuif cedex, France. cpachet@noos.fr
Fournier
E
E
Robert
C
C
Duvillard
P
P
Kolb
F
F
D002675:Child, Preschool; D018223:Dermatofibrosarcoma / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008866:Microsurgery; D018482:Muscle, Skeletal / Q000098:blood supply*; D010502:Perineum / Q000601:surgery*; D019651:Plastic Surgery Procedures; D012878:Skin Neoplasms / Q000473:pathology / Q000601:surgery*; D013524:Surgical Flaps; D013848:Thigh / Q000601:surgery; D016896:Treatment Outcome