Montinaro Vincenzo, Massari Federico, Romanelli Giorgio
Nerviano Veterinary Clinic, Nerviano, Italy
Nerviano Veterinary Clinic, Nerviano, Italy.
J Feline Med Surg. 2015 Apr;17(4):371-4. doi: 10.1177/1098612X14536569. Epub 2014 Jun 4.
A 6-year-old male castrated Chartreux cat was referred for recurrence of an injection site sarcoma at the base of the tail 7 months after the initial surgery. Upon presentation, the physical examination was unremarkable except for a non-painful, subcutaneous mass, 2 cm in diameter, firmly attached to the underlying tissue on the left lateral side of the tail base. Complete blood count, biochemistry and urinalysis were within normal limits; thoracic radiographs and abdominal ultrasound showed no evidence of metastatic disease. After removing the mass with 3 cm margins laterally and two deep fascial planes, the defect was reconstructed after tail amputation using a coccygeal axial pattern flap based on the lateral coccygeal arteries and veins. There were no complications with wound healing and the only visible change was a difference in hair coat direction at the 1 month re-check. This is the first report to describe the utility and feasibility of the coccygeal axial pattern flap to reconstruct a large cutaneous defect over the caudodorsal pelvic region in a cat.
一只6岁去势的沙特尔猫因初次手术后7个月尾根部注射部位肉瘤复发前来就诊。就诊时，体格检查未见异常，仅在尾根左侧有一个直径2厘米、无痛性的皮下肿块，与深部组织紧密相连。全血细胞计数、生化检查和尿液分析均在正常范围内；胸部X光片和腹部超声检查未发现转移病灶。在将肿块连同外侧3厘米边缘组织和两个深筋膜平面一并切除后，采用基于外侧尾骨动静脉的尾骨轴型皮瓣在尾切除术后对缺损进行了修复。伤口愈合无并发症，在1个月复查时唯一可见的变化是被毛方向有所不同。这是首次报道描述尾骨轴型皮瓣在猫尾背侧盆腔区域重建大面积皮肤缺损的实用性和可行性。
