Plastic Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Plastic Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India
BMJ Case Rep. 2021 Aug 23;14(8):e244730. doi: 10.1136/bcr-2021-244730.
Atypical fibroxanthoma (AFX) is a rare cutaneous ulcerative lesion with a good prognosis. Diagnosis is difficult and is usually made by exclusion from pleomorphic dermal sarcoma and squamous cell carcinoma. Definitive treatment varies from Mohs micrographic surgery to wide local excision. We present a case of 76-year-old woman with AFX over the dorsum of her left hand. The tumour was excised and the resulting defect was reconstructed with a local second dorsal metacarpal artery perforator flap.
非典型纤维黄色瘤(AFX)是一种罕见的皮肤溃疡性病变,预后良好。诊断困难,通常通过排除多形性皮肤肉瘤和鳞状细胞癌来做出诊断。明确的治疗方法从 Mohs 显微外科手术到广泛的局部切除不等。我们报告了一例 76 岁女性左手背部的 AFX 病例。肿瘤被切除,用局部第二背侧掌骨动脉穿支皮瓣修复了由此产生的缺损。