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Case Reports
. 2020 Sep 21;2020(9):rjaa340.
doi: 10.1093/jscr/rjaa340. eCollection 2020 Sep.

Reconstruction of facial dermatofibrosarcoma protuberans using an anterolateral thigh flap: a case report and literature review

Bayan O Besharah  1 , Raghad A Ghazzawi  2 , Haddad H Al-Kaff  1 , Sherif K Abdelmonim  1 , Mohammad A Al-Essa  1
Affiliations
Case Reports

Reconstruction of facial dermatofibrosarcoma protuberans using an anterolateral thigh flap: a case report and literature review

Bayan O Besharah et al. J Surg Case Rep. .

Abstract

Dermatofibrosarcoma protuberans is a rare, locally aggressive cutaneous malignancy with a high rate of recurrence if the head-and-neck region is involved. Treatment is challenging as it is difficult to avoid poor aesthetic and functional outcomes using the standard approach of complete resection with negative margins and subsequent reconstruction. This is especially challenging in cases where the face is involved and the defect is large after resection. There have been few cases of reconstruction using different flaps reported. We present the case of a young lady with a large cheek tumor, which was reconstructed using an anterolateral thigh flap. Excellent functional and aesthetic outcomes were achieved.

Keywords: Dermatofibrosarcoma protuberans; Mohs micrographic surgery; anterolateral thigh flap; cheek; microvascular reconstruction; vein coupler; wide local excision.

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Figures

Figure 1
Figure 1
MRI face T2 axial cut shows right cheek enhanced mass.
Figure 2
Figure 2
(A) intraoperative image shows right cheek mass, (B) postoperative defect in right cheek lesion and (C) anterolateral thigh flap completely covers the postsurgical defect.
Figure 3
Figure 3
View of postoperative day 7 shows flap almost completely healed.
See this image and copyright information in PMC

References

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