Hemipelvectomy and reconstruction in a patient with advanced Marjolin's ulcer: a case report.
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.
Carlesimo
Bruno
B
Department of Plastic and Reconstructive Surgery, La Sapienza University of Rome, Italy.
Monarca
Cristiano
C
Rizzo
Maria Ida
MI
Tariciotti
Francesca
F
Staccioli
Sabina
S
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