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Hemipelvectomy and Reconstruction in a Patient With Advanced Marjolin’s Ulcer: A Case ReportDepartment of Plastic and Reconstructive Surgery, La Sapienza University of Rome, Italy
Department of Plastic and Reconstructive Surgery, La Sapienza University of Rome, Italy, mariaidarizzo{at}libero.it
Department of Plastic and Reconstructive Surgery, La Sapienza University of Rome, Italy
Unit of Plastic Surgery-CPO, Paraplegic Centre of Ostia, Rome, Italy
Unit of Plastic Surgery-CPO, Paraplegic Centre of Ostia, Rome, Italy Patients with squamous cell carcinoma of the lower limb may exhibit locally advanced or metastatic disease. Surgical resection to control the primary tumor is often extensive.The case of a 51-year-old man with squamous cell carcinoma on Marjolin’s ulcer affected, rapidly growing, and involving soft and bone tissues is described. Treatment required performing a hemipelvectomy. Immediate reconstruction was chosen as surgical procedure planning the harvest of 4 superficial muscles and 1 deep muscle of the abdomen to protect the pelvic content and to eliminate the dead spaces.The chosen technique minimized postoperative complications, and at 7 years follow-up, the patient is disease free.
Key Words: squamous cell carcinoma • malignant pelvic tumor • Marjolin’s ulcer • hemipelvectomy
The International Journal of Lower Extremity Wounds, Vol. 8, No. 3,
162-164 (2009) |
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