Multiple Flap Transfer for Multiple Local Recurrence of Soft Tissue Sarcoma
Abstract
:1. Introduction
2. Materials and Methods
Statistical Analysis
3. Results
3.1. Results
3.2. Case Reports
3.2.1. Case Seven
3.2.2. Case Eight
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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No | Age (Year) | Sex | BMI | Tabacco History | Defect Location | Total Number of Wide Resection | Total Number of Flap Reconstruction | Radiation Therapy | Follow-Up Period (Months) |
---|---|---|---|---|---|---|---|---|---|
1 | 77 | male | 17.8 | - | lower extremity | 6 | 2 | + | 150 |
2 | 68 | female | 21.1 | - | buttock | 4 | 2 | + | 207 |
3 | 58 | female | 23.2 | - | lower extremity | 4 | 3 | − | 168 |
4 | 69 | male | 25.0 | - | buttock | 4 | 2 | + | 18 |
5 | 24 | male | 17.6 | - | back | 2 | 2 | − | 72 |
6 | 67 | male | 20.4 | + | back | 2 | 2 | − | 64 |
7 | 72 | male | 17.3 | + | groin | 3 | 3 | + | 67 |
8 | 70 | male | 26.6 | - | groin | 7 | 4 | + | 129 |
Median | 68.5 | 20.7 | 4.0 | 2 | 101 | ||||
IQR | 64.8–70.5 | 17.8–23.6 | 2.8–4.5 | 2–3 | 66–155 |
No | Patient No | Age (yr) | Tumor Size (cm) | Defect Size (cm2) | Histology | Margin Positive | Flap Resection | Free/Pedicled | Flap | Flap Size (cm) | Complications |
---|---|---|---|---|---|---|---|---|---|---|---|
1 | 1 | 77 | 20 × 13 × 12 | 95.0 | MFH | + | N/A | pedicle | GC | 15 × 11 | |
2 | 1 | 85 | 9 × 36 × 29 | 50.2 | MFH | + | + | pedicle | TFL | 10 × 8 | skin-graft necrosis |
3 | 2 | 68 | 35 × 25 × 10 | 63.4 | MFH | + | N/A | pedicle | GM | 10 × 9 | |
4 | 2 | 74 | 25 × 15 × 30 | 78.5 | MFH | − | - | pedicle | ALT | 18 × 10 | |
5 | 3 | 58 | 35 × 25 × 40 | 84.8 | MFH | − | N/A | pedicle | GC | 12 × 9 | |
6 | 3 | 61 | 12 × 8 × 13 | 28.3 | MFH | − | - | pedicle | ALT | 13 × 6 | |
7 | 3 | 63 | 22 × 28 × 30 | 62.8 | MFH | + | + | pedicle | GC | 10 × 8 | |
8 | 4 | 69 | 170 × 78 × 55 | 129.5 | OS | − | N/A | pedicle | RA | 17 × 11 | |
9 | 4 | 69 | 50 × 35 × 18 | 112.3 | OS | − | - | pedicle | GM | 15 × 11 | |
10 | 5 | 24 | 8 × 7 × 4 | 153.9 | myxoid LS | + | N/A | pedicle | LD | 29 × 14 | donor-site dehiscence |
11 | 5 | 25 | 95 × 55 × 28 | 400.4 | myxoid LS | − | + | free | ALT/TFL | 22 × 9, 30 × 9 | |
12 | 6 | 67 | 90 × 85 × 65 | 213.5 | UPS | − | N/A | pedicle | LD | 22 × 12 | take back, partial flap loss |
13 | 6 | 68 | 19 × 14 × 12 | 50.2 | UPS | − | - | pedicle | trapezius | 17 × 8 | seroma |
14 | 7 | 72 | 67 × 45 × 35 | 122.5 | UPS | − | N/A | pedicle | ALT | 24 × 12 | take back, total flap loss |
15 | 7 | 75 | 110 × 50 × 35 | 129.5 | UPS | + | + | free | PAP | 20 × 11 | donor-site dehiscence |
16 | 7 | 77 | 80 × 66 × 46 | 35.3 | UPS | + | - | pedicle | RA | 25.5 × 5 | |
17 | 8 | 70 | missing | 37.7 | MFH | − | N/A | pedicle | RA | 8 × 8 | infection |
18 | 8 | 75 | 50 × 22 × 10 | 31.4 | MFS | − | + | pedicle | sartorius | 16 × 4.5 | infection, lymphorrhea |
19 | 8 | 76 | N/A | 84.8 | N/A | N/A | + | pedicle | RA | 12 × 9 | |
20 | 8 | 80 | 100 × 75 × 65 | 84.8 | UPS | + | - | pedicle | PAP | 18 × 9 | |
median range | 69.5 | 42.5 × 31.5 × 29.5 | 84.8 | 16.5 × 9 | |||||||
IQR | 66–75.3 | 50.2–124 |
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Karakawa, R.; Yoshimatsu, H.; Fuse, Y.; Yano, T. Multiple Flap Transfer for Multiple Local Recurrence of Soft Tissue Sarcoma. Medicina 2023, 59, 1489. https://doi.org/10.3390/medicina59081489
Karakawa R, Yoshimatsu H, Fuse Y, Yano T. Multiple Flap Transfer for Multiple Local Recurrence of Soft Tissue Sarcoma. Medicina. 2023; 59(8):1489. https://doi.org/10.3390/medicina59081489
Chicago/Turabian StyleKarakawa, Ryo, Hidehiko Yoshimatsu, Yuma Fuse, and Tomoyuki Yano. 2023. "Multiple Flap Transfer for Multiple Local Recurrence of Soft Tissue Sarcoma" Medicina 59, no. 8: 1489. https://doi.org/10.3390/medicina59081489