Latissimus dorsi free flap reconstruction of major abdominal defect in treatment of giant Marjolin's ulcer: a short report focused on preoperative imaging.
We present a case of a 56-year-old man with a giant carcinoma in the abdominal wall. Based on positron emission tomography/computed tomography (PET/CT) scan there were FDG-avid lymph nodes in the ipsilateral axillary and groin, suspicious for metastases. At contrast-enhanced CT the parietal peritoneum seemed free of tumor invasion, which was essential to radical surgery planning. The tumor was completely removed with clear margins of resection and no metastasis in the resected lymph nodes. The PET/CT scan was repeated after 4 months, showing no signs of recurrence.
Department of Plastic Surgery, South-West Jutland Hospital Esbjerg, Denmark ; Department of Plastic Surgery, Odense University Hospital, Denmark.
Signe Muus
SM
Steffensen
Department of Nuclear Medicine, Odense University Hospital, Denmark.
Anders
A
Thomassen
Department of Plastic Surgery, South-West Jutland Hospital Esbjerg, Denmark.
Jesper Poul Naested
JP
Jensen
Department of Plastic Surgery, Odense University Hospital, Denmark.
Jens Ahm
JA
Soerensen
Positron emission tomography (PET); computed tomography (CT); metastases; soft tissues/skin; surgery