title: Hemipelvectomy and reconstruction in a patient with advanced Marjolin's ulcer: a case report.
abstract: Patients with squamous cell carcinoma of the lower limb may exhibit locally advanced or metastatic disease. Surgical resection to control the primary tumor is often extensive.The case of a 51-year-old man with squamous cell carcinoma on Marjolin's ulcer affected, rapidly growing, and involving soft and bone tissues is described. Treatment required performing a hemipelvectomy. Immediate reconstruction was chosen as surgical procedure planning the harvest of 4 superficial muscles and 1 deep muscle of the abdomen to protect the pelvic content and to eliminate the dead spaces.The chosen technique minimized postoperative complications, and at 7 years follow-up, the patient is disease free.
authors.affiliation: Department of Plastic and Reconstructive Surgery, La Sapienza University of Rome, Italy.
authors.forename: Bruno
authors.initials: B
authors.lastname: Carlesimo
authors.forename: Cristiano
authors.initials: C
authors.lastname: Monarca
authors.forename: Maria Ida
authors.initials: MI
authors.lastname: Rizzo
authors.forename: Francesca
authors.initials: F
authors.lastname: Tariciotti
authors.forename: Sabina
authors.initials: S
authors.lastname: Staccioli
mesh_terms: D002294:Carcinoma, Squamous Cell / Q000209:etiology / Q000601:surgery*; D005500:Follow-Up Studies; D006428:Hemipelvectomy / Q000379:methods*; D006801:Humans; D007871:Leg Ulcer / Q000150:complications / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D012878:Skin Neoplasms / Q000209:etiology / Q000601:surgery*; D013997:Time Factors