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下岛斜方肌皮瓣用于治疗罕见头皮肿瘤。

Lower Island Trapezius Flap for a Rare Scalp Tumor.

作者信息

Ramkumar Aravind

机构信息

General Surgery, Malavya Hospital, Bengaluru, IND.

General Surgery, Employees State Insurance Corporation (ESIC) Medical College, Post-graduate Institute of Medical Sciences and Research (PGIMSR) Hospital, Bengaluru, IND.

出版信息

Cureus. 2024 Nov 2;16(11):e72903. doi: 10.7759/cureus.72903. eCollection 2024 Nov.

DOI:10.7759/cureus.72903
PMID:39628760
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11614359/
Abstract

A 54-year-old male with a past history of acute pancreatitis and pulmonary embolism presented with a scalp tumor in the occipital region for a six-month duration. With a biopsy report of squamous cell carcinoma, wide local excision with the lower island trapezius myocutaneous flap with skin grafting was done. However, the final pathology report revealed a proliferating trichilemmal tumor with clear margins. The technique of the lower island trapezius flap in posterior scalp defects and a brief overview of proliferating trichilemmal tumors are described in this report.

摘要

一名54岁男性，既往有急性胰腺炎和肺栓塞病史，因枕部头皮肿物6个月前来就诊。活检报告为鳞状细胞癌，遂行广泛局部切除并采用下岛状斜方肌肌皮瓣联合植皮术。然而，最终病理报告显示为切缘清晰的增生性外毛根鞘瘤。本报告描述了下岛状斜方肌皮瓣修复后头皮缺损的技术以及增生性外毛根鞘瘤的简要概述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e622/11614359/dd810e15d37b/cureus-0016-00000072903-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e622/11614359/3948d45a2e06/cureus-0016-00000072903-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e622/11614359/39c821c7ff3a/cureus-0016-00000072903-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e622/11614359/2e805815f322/cureus-0016-00000072903-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e622/11614359/07a6d5a5c82d/cureus-0016-00000072903-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e622/11614359/8cfe88f98c3a/cureus-0016-00000072903-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e622/11614359/08a03e3b1b86/cureus-0016-00000072903-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e622/11614359/02beefc15244/cureus-0016-00000072903-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e622/11614359/dd810e15d37b/cureus-0016-00000072903-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e622/11614359/3948d45a2e06/cureus-0016-00000072903-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e622/11614359/39c821c7ff3a/cureus-0016-00000072903-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e622/11614359/2e805815f322/cureus-0016-00000072903-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e622/11614359/07a6d5a5c82d/cureus-0016-00000072903-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e622/11614359/8cfe88f98c3a/cureus-0016-00000072903-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e622/11614359/08a03e3b1b86/cureus-0016-00000072903-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e622/11614359/02beefc15244/cureus-0016-00000072903-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e622/11614359/dd810e15d37b/cureus-0016-00000072903-i08.jpg

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本文引用的文献

1
Reconstruction of Scalp and Forehead Defects: Options and Strategies.头皮和前额缺损的重建：方法与策略
Cureus. 2023 Jul 6;15(7):e41479. doi: 10.7759/cureus.41479. eCollection 2023 Jul.
2
Revisiting the Trapezius Flap as a Reconstructive Option for Cervico-Occipital and Thoracic Spine Regions.重新审视斜方肌皮瓣作为颈枕部和胸椎区域重建选择的应用
Indian J Plast Surg. 2019 Sep;52(3):322-323. doi: 10.1055/s-0039-3400677. Epub 2019 Dec 26.
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Scalp tumors.头皮肿瘤。
J Dtsch Dermatol Ges. 2018 Jun;16(6):730-753. doi: 10.1111/ddg.13546.
4
The Trapezius Muscle Flap: A Viable Alternative for Posterior Scalp and Neck Reconstruction.斜方肌肌皮瓣：后头皮及颈部重建的可行替代方案。
Arch Plast Surg. 2016 Nov;43(6):529-535. doi: 10.5999/aps.2016.43.6.529. Epub 2016 Nov 18.
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Malignant proliferating trichilemmal tumor.恶性增生性毛鞘瘤
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Proliferating pilar tumors: a clinicopathologic study of 76 cases with a proposal for definition of benign and malignant variants.增生性毛根鞘瘤：76例临床病理研究并提出良性和恶性变体的定义建议
Am J Clin Pathol. 2004 Oct;122(4):566-74. doi: 10.1309/0XLEGFQ64XYJU4G6.
7
The lower trapezius flap. Vascular anatomy and surgical technique.下斜方肌肌皮瓣。血管解剖与手术技术。
Arch Otolaryngol Head Neck Surg. 1991 Jan;117(1):73-6. doi: 10.1001/archotol.1991.01870130079020.