Pichardo Priscilla, Purdy Nicholas, Haugen Thorsen
Department of Otolaryngology-Head & Neck Surgery, Geisinger Medical Center, Danville, PA, USA.
Ann Otol Rhinol Laryngol. 2020 Sep;129(9):935-940. doi: 10.1177/0003489420917418. Epub 2020 May 17.
It is well known that malignant cells can be implanted at distant donor sites due to iatrogenic surgical contamination. Only a small number of reports, however, have been published describing this.
We present a case of oral cavity Squamous Cell Carcinoma (SCC) reconstructed with a radial forearm free flap in which SCC developed in the subcutaneous tissues beneath the donor incision site 6 months after surgery.
The implanted tumor was excised and the field was subsequently treated with radiation. The patient remains disease-free on follow-up.
We present the second report of tumor implanted in a free flap donor site. Additionally, we discuss the risks of tumor implantation, review the literature, and make recommendations to avoid this complication.
众所周知，由于医源性手术污染，恶性细胞可植入远处供体部位。然而，仅有少数报告描述过这一情况。
我们报告一例口腔鳞状细胞癌（SCC）患者，该患者接受了桡侧前臂游离皮瓣重建术，术后6个月在供体切口部位下方的皮下组织中发生了SCC。
切除植入的肿瘤，随后对该区域进行放射治疗。患者在随访中无疾病复发。
我们报告了第二例肿瘤植入游离皮瓣供体部位的病例。此外，我们讨论了肿瘤植入的风险，回顾了相关文献，并提出了避免这一并发症的建议。
