口腔鳞状细胞癌在根治性切除并用游离皮瓣重建后皮瓣内复发。
Intra-flap recurrence of an oral squamous cell carcinoma after curative resection and reconstruction with a free flap.
作者信息
Liokatis Paris, Liokati Ioanna, Fegg Florian Nepomuk, Dewenter Ina, Mast Gerson, Otto Sven, Obermeier Katharina Theresa
机构信息
Department of Oral and Maxillofacial Surgery and Facial Plastic Surgery Ludwig-Maximilians-University (LMU) Munich Germany.
Department of Otorhinolaryngology General Hospital Georgios Gennimatas Athens Greece.
出版信息
Clin Case Rep. 2024 Aug 18;12(8):e9326. doi: 10.1002/ccr3.9326. eCollection 2024 Aug.
UNLABELLED
Intra-flap recurrence after reconstruction is a possible complication in oral squamous cell carcinoma (OSCC) after curative resection and reconstruction with a free flap.
ABSTRACT
This case report describes an intra-flap recurrence after tumor resection and reconstruction with a latissimus dorsi flap due to OSCC. We report a 58-year-old female patient who underwent curative resection of a squamous cell carcinoma in the oral cavity and submental area and reconstruction with a latissimus dorsi free flap. Thirteen months after the operation, the patient presented with lung metastases and, 22 months after the operation, a metastatic lesion in the flap's central area with no sign of recurrence in the primary resection site occurred. The patient died 25 months after the initial operation due to the rapid progression of the disease and further distant metastases. To our knowledge, similar cases do not exist in the literature. This is the first reported case of intra-flap metastasis after surgical treatment of OSCC.
未标注
根治性切除并用游离皮瓣重建后，皮瓣内复发是口腔鳞状细胞癌（OSCC）的一种可能并发症。
摘要
本病例报告描述了1例因OSCC行肿瘤切除并用背阔肌皮瓣重建后发生皮瓣内复发的病例。我们报告1例58岁女性患者，该患者接受了口腔及颏下区鳞状细胞癌的根治性切除，并用背阔肌游离皮瓣进行重建。术后13个月，患者出现肺转移，术后22个月，皮瓣中心区域出现转移灶，而原发切除部位无复发迹象。患者在初次手术后25个月因疾病快速进展及进一步远处转移死亡。据我们所知，文献中不存在类似病例。这是首例报道的OSCC手术治疗后皮瓣内转移病例。
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