Lenoble E, Delepine G, Voisin M C
Service d'Orthopédie et de Traumatologie, Hôpital Henri Mondor, Creteil.
Ann Chir Plast Esthet. 1993 Aug;38(4):477-80.
A secondary localisation of an epithelioid sarcoma appeared on the inguinal scar of a groin flap in a 28 years-old woman, 14 months after resection and coverage of the primary tumor in the palm of the right hand. The evolution was free of recurrence or metastasis, with a two-year follow-up, after surgical resection of the inguinal tumor, radiotherapy and chemotherapy. Secondary localisation of tumors in musculo-cutaneous flaps can be observed after head and neck or chest wall surgery. Contiguity propagation, or venous or lymphatic dissemination are the usual mechanisms. One must realised a biopsy preliminary to the resection of a suspicious tumor of upper or lower limb. When one needs a flap for reconstruction, one must prefer to use a local flap.
一名28岁女性在右手掌原发性肿瘤切除并覆盖后14个月，腹股沟皮瓣的腹股沟瘢痕处出现上皮样肉瘤的继发性定位。在对腹股沟肿瘤进行手术切除、放疗和化疗后，经过两年随访，病情无复发或转移。头颈部或胸壁手术后可观察到肿瘤在肌皮瓣中的继发性定位。连续性扩散或静脉或淋巴播散是常见机制。对于上肢或下肢可疑肿瘤的切除，必须先进行活检。当需要皮瓣进行重建时，应优先使用局部皮瓣。
