title: Clinical experience of the treatment of giant congenital benign tumours of the back.
abstract: Congenital giant benign tumours of the back are rarely seen or reported. They pose two challenges to plastic surgeons: copious intraoperative bleeding, and an extensive raw area left after removal of the tumour. We have treated five cases of congenital giant benign tumour of the back. The largest was a neurofibroma in a woman, which weighed 36.29 kg and she had 10,000 ml of blood transfused to replace the blood loss during operation. We achieved total excision of the tumours in all cases and covered the extensive wounds with skin harvested from the tumours themselves in one stage. Among the five cases, four were neurofibromas and one was a giant naevus. All grafted skin took, and there were no recurrences. The tumours were radically excised in one stage and the extensive wounds covered with the skin with good take and no risk of recurrence.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
authors.forename: Danru
authors.initials: D
authors.lastname: Wang
authors.forename: Yixin
authors.initials: Y
authors.lastname: Zhang
authors.forename: Yunliang
authors.initials: Y
authors.lastname: Qian
authors.forename: Qun
authors.initials: Q
authors.lastname: Yang
authors.forename: Xi
authors.initials: X
authors.lastname: Wang
authors.forename: Wenxiang
authors.initials: W
authors.lastname: Guan
mesh_terms: D000293:Adolescent; D000328:Adult; D001415:Back / Q000473:pathology / Q000601:surgery; D002681:China; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009455:Neurofibroma / Q000151:congenital* / Q000473:pathology* / Q000601:surgery; D009508:Nevus, Pigmented / Q000151:congenital* / Q000473:pathology* / Q000601:surgery; D035583:Rare Diseases; D019651:Plastic Surgery Procedures / Q000379:methods; D012189:Retrospective Studies; D018570:Risk Assessment; D012494:Sampling Studies; D012720:Severity of Illness Index; D012878:Skin Neoplasms / Q000151:congenital* / Q000473:pathology* / Q000601:surgery; D016038:Skin Transplantation; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology; D055815:Young Adult