Eva Gudewer1, Erhard Hölzle, Lei Li. 1. Klinikum Oldenburg gGmbH, Clinic for Maxillofacial Surgery and Plastic Surgery, Rahel-Straus-Str. 10, 26133, Oldenburg, Germany. gudewer.eva@klinikum-oldenburg.de
Abstract
BACKGROUND: Cutaneous angiosarcoma is a rare vascular tumor, which is usually located in the head and neck region. Because of the unspecific appearance, diagnoses are only secured after a histological examination of a tissue sample. CASE REPORT: After three punch biopsies, a 67-year-old patient, who had been healthy so far, was diagnosed with a cutaneous multilocated angiosarcoma of the scalp. Computed tomography of the head, neck, thorax, and abdomen was done for staging. It was without pathological findings. The tumor removal caused a scalp defect with a size of 30 x 30 cm. The cover of the defect was made by a combined microsurgical muscle flap with parts of the musculus latissimus dorsi and musculus serratus anterior. This flap was covered with split-thickness-skin in a second step. Eight weeks postoperative, the radiotherapy has started. CONCLUSION: This kind of treatment can be recommended because the early reconstruction allowed a soon adjuvant radiotherapy, and the patient regained a good quality of life due to the pleasant and aesthetically result.
BACKGROUND:Cutaneous angiosarcoma is a rare vascular tumor, which is usually located in the head and neck region. Because of the unspecific appearance, diagnoses are only secured after a histological examination of a tissue sample. CASE REPORT: After three punch biopsies, a 67-year-old patient, who had been healthy so far, was diagnosed with a cutaneous multilocated angiosarcoma of the scalp. Computed tomography of the head, neck, thorax, and abdomen was done for staging. It was without pathological findings. The tumor removal caused a scalp defect with a size of 30 x 30 cm. The cover of the defect was made by a combined microsurgical muscle flap with parts of the musculus latissimus dorsi and musculus serratus anterior. This flap was covered with split-thickness-skin in a second step. Eight weeks postoperative, the radiotherapy has started. CONCLUSION: This kind of treatment can be recommended because the early reconstruction allowed a soon adjuvant radiotherapy, and the patient regained a good quality of life due to the pleasant and aesthetically result.
Authors: William M Mendenhall; Charles M Mendenhall; John W Werning; John D Reith; Nancy P Mendenhall Journal: Am J Clin Oncol Date: 2006-10 Impact factor: 2.339
Authors: Jun Ho Choi; Kyung Chan Ahn; Hak Chang; Kyung Won Minn; Ung Sik Jin; Byung Jun Kim Journal: Biomed Res Int Date: 2015-12-02 Impact factor: 3.411