Badellino F, Berrino P, Campora E, Canavese G, Galli A, Margarino G, Scala M, Santi P L
Department of Surgical Oncology, Plastic Surgery, and Medical Oncology, National Institute for Cancer Research, Genoa, Italy.
J Surg Oncol. 1988 May;38(1):45-7. doi: 10.1002/jso.2930380112.
In a patient with recurrent head and neck squamous cell carcinoma, reconstruction of the floor of the mouth was carried out by transposition of a pectoralis major myocutaneous flap after composite resection. Twelve months after surgery, a chest wall metastasis corresponding to the site of the vascular pedicle was observed. It appears that the lymphatic and hematogenous tumor spread can occur along the vascular pathways of a transposed myocutaneous flap.
