SPLIT-THICKNESS SKIN GRAFTING IN ONCOLOGIC SURGERY OF THE LIMB – A CASE REPORT

Authors

  • C. DIACONU University of Medicine and Pharmacy “Grigore T. Popa” - Iasi
  • D. TIMOFTE University of Medicine and Pharmacy “Grigore T. Popa” - Iasi
  • R. DANILA University of Medicine and Pharmacy “Grigore T. Popa” - Iasi
  • Lidia IONESCU University of Medicine and Pharmacy “Grigore T. Popa” - Iasi
  • Roxana Maria LIVADARIU University of Medicine and Pharmacy “Grigore T. Popa” - Iasi

Abstract

Large excision of tumor soft tissues is often complicated by infections, seriously undermined blood supply and venous drainage, tendon exposure, functional impairment. We report the case of a 67 years old woman admitted for a sarcoma of the right forearm occurring 14 years after a modified radical mastectomy and adjuvant chemotherapy for carcinoma of the right breast. A wide excision of the lesion and split-thickness skin graft was performed with uneventful recovery and satisfactory healing of the graft tissue and functional aspect of the arm. In the last few decades, there has been a search for solutions in tissue repair without need for auto grafts, such as biological substitutes that could repair or improve the function of tissue. In case none of these products are available, auto graft is a good choice and it may be commonly used in the surgical treatment of postoperative soft tissues defects after oncologic surgery.

Author Biographies

  • C. DIACONU, University of Medicine and Pharmacy “Grigore T. Popa” - Iasi

    Faculty of Medicine                                                                                                                                                   Department of Surgery
    “Sf. Spiridon” Emergency Clinical Hospital, Iaşi                                                                                                                         3rd Surgical Unit

  • D. TIMOFTE, University of Medicine and Pharmacy “Grigore T. Popa” - Iasi

    Faculty of Medicine                                                                                                                                                   Department of Surgery
    “Sf. Spiridon” Emergency Clinical Hospital, Iaşi                                                                                                                         3rd Surgical Unit

  • R. DANILA, University of Medicine and Pharmacy “Grigore T. Popa” - Iasi

    Faculty of Medicine                                                                                                                                                    Department of Surgery
    “Sf. Spiridon” Emergency Clinical Hospital, Iaşi                                                                                                                   3rd Surgical Unit

  • Lidia IONESCU, University of Medicine and Pharmacy “Grigore T. Popa” - Iasi

    Faculty of Medicine                                                                                                                                                   Department of Surgery
    “Sf. Spiridon” Emergency Clinical Hospital, Iaşi                                                                                                                   3rd Surgical Unit

  • Roxana Maria LIVADARIU, University of Medicine and Pharmacy “Grigore T. Popa” - Iasi

    Faculty of Medicine                                                                                                                                                   Department of Surgery
    “Sf. Spiridon” Emergency Clinical Hospital, Iaşi                                                                                                                   3rd Surgical Unit

References

1. Gravante G, Sorge R, Merone A, Tamisani AM, Di Lonardo A, Scalise A, Doneddu G, Melandri D, Stracuzzi G, Onesti MG, Cerulli P, Pinn R, Esposito G. Hyalomatrix PA in burn care practice: results from a national retrospective survey, 2005 to 2006. Ann Plast Surg 2010; 64(1): 69-79.
2. Kirschke J, Georgas D, Sand M, Bechara FG. External tissue expander for closing large defects of the extremities and trunk. Cutan Med Surg 2013; 17(6): 423-425
3. Grobmyer SR, Daly JM, Glotzbach RE, Grobmyer AJ 3rd. Role of surgery in the management of postmastectomy extremity angiosarcoma (Stewart-Treves syndrome). J Surg Oncol 2000; 73(3): 182-188.
4. Peyron N, Dandurand M, Guillot B. Malignant tumors as complications of lymphedema. J Mal Vasc 1993; 18: 293-298.
5. Breidenbach M. et al. Intra-arterial mitoxantrone and paclitaxel in a patient with Stewart-Treves syndrome: selection of chemotherapy by an ex vivo ATP-based chemosensitivity assay. Anticancer drugs 2000; 11(4): 269-273
6. Fujisawa Y, et al. Intra-arterial mitoxantrone/paclitaxel in angiosarcoma of the lower limb associated with chronic lymphedema (Stewart-Treves syndrome) in a patient with cervical cancer. Eur J Dermatol 2011; 21(1): 119-120

Additional Files

Published

2018-05-08

Issue

Vol. 118 No. 2 (2014): The Medical-Surgical Journal

Section

SURGERY

License

COPYRIGHT 
Once an article is accepted for publication, MSJ requests a transfer of copyrights for published articles.

COPYRIGHT TRANSFER FORM FOR 

REVISTA MEDICO-CHIRURGICALĂ A SOCIETĂȚII DE MEDICI ȘI NATURALIȘTI DIN IAȘI /

THE MEDICAL-SURGICAL JOURNAL OF THE SOCIETY OF PHYSICIANS AND NATURALISTS FROM IASI

We, the undersigned authors of the manuscript entitled

_____________________________________________________________________________________

_____________________________________________________________________________________

warrant that this manuscript, which is submitted for publication in the REVISTA MEDICO-CHIRURGICALĂ, has not been published and it is not under consideration for publication in another journal.

  1. we give the consent for publication in the REVISTA MEDICO-CHIRURGICALĂ, in printed and electronic format and we transfer unconditioned and complete the copyright of this manuscript to the REVISTA MEDICO-CHIRURGICALĂ, in the event of its acceptance.
  2. the manuscript does not break the intellectual property rights of any other person.
  3. we have read the submitted version of the manuscript and we are fully responsible for the content.

Names and signatures of authors / copyright owners (the following sequence is the authorship of the article):

  1. ______________________________/_________________________
  2. ______________________________/_________________________
  3. ______________________________/_________________________

N.B.  All the authors must sign this form