2009Chinese Journal of Modern Operative SurgeryRequires access

Plastic Surgical Treatment of Superficial Interphyletic Soft Tissue Tumor

Fang Zhou

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Abstract

Objective To summarize the clinic experience and therapeutic effect of surgical treatment for interphyletic soft tissue tumor on body surface.Methods 33 patients with superficial interphyletic soft tissue tumor were analyzed retrospectively,including 25 of palindromic cases and 8 of primary cases.Tumors were extensive resected in vertical and horizontal extent.Surgical excision of tumor and reconstruction were accomplished simultaneously in all cases.Results Reconstruction were completed with adjacent skin flap and free skin grafting in 18 cases,distant skin flap and free skin grafting in 7 cases,and free skin transplantation in 8 cases.Partial necrosis of skin grafts occurred in 3 cases,and was repaired by skin grafting again.Clavicle exposure associated with necrosis of scalenus posterior muscle flap was found in 1 case,then was repaired by musculocutaneous flaps transfering and free skin grafting.No case relapsed during 0.5 to 4 years follow-up.Conclusion During the surgical treatment of interphyletic soft tissue tumor,the depth and extent of tumor excision must be pay more attention to decrease the recurrence rate,and the plastic surgical techniques can be achieved satisfactory outcome to repair the wounds.

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Objective To summarize the clinic experience and therapeutic effect of surgical treatment for interphyletic soft tissue tumor on body surface.Methods 33 patients with superficial interphyletic soft tissue tumor were analyzed retrospectively,including 25 of palindromic cases and 8 of primary cases.Tumors were extensive resected in vertical and horizontal extent.Surgical excision of tumor and reconstruction were accomplished simultaneously in all cases.Results Reconstruction were completed with adjacent skin flap and free skin grafting in 18 cases,distant skin flap and free skin grafting in 7 cases,and free skin transplantation in 8 cases.Partial necrosis of skin grafts occurred in 3 cases,and was repaired by skin grafting again.Clavicle exposure associated with necrosis of scalenus posterior muscle flap was found in 1 case,then was repaired by musculocutaneous flaps transfering and free skin grafting.No case relapsed during 0.5 to 4 years follow-up.Conclusion During the surgical treatment of interphyletic soft tissue tumor,the depth and extent of tumor excision must be pay more attention to decrease the recurrence rate,and the plastic surgical techniques can be achieved satisfactory outcome to repair the wounds.

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Available abstract

Objective To summarize the clinic experience and therapeutic effect of surgical treatment for interphyletic soft tissue tumor on body surface.Methods 33 patients with superficial interphyletic soft tissue tumor were analyzed retrospectively,including 25 of palindromic cases and 8 of primary cases.Tumors were extensive resected in vertical and horizontal extent.Surgical excision of tumor and reconstruction were accomplished simultaneously in all cases.Results Reconstruction were completed with adjacent skin flap and free skin grafting in 18 cases,distant skin flap and free skin grafting in 7 cases,and free skin transplantation in 8 cases.Partial necrosis of skin grafts occurred in 3 cases,and was repaired by skin grafting again.Clavicle exposure associated with necrosis of scalenus posterior muscle flap was found in 1 case,then was repaired by musculocutaneous flaps transfering and free skin grafting.No case relapsed during 0.5 to 4 years follow-up.Conclusion During the surgical treatment of interphyletic soft tissue tumor,the depth and extent of tumor excision must be pay more attention to decrease the recurrence rate,and the plastic surgical techniques can be achieved satisfactory outcome to repair the wounds.

Key concepts: Medicine, Surgery, Soft tissue, Skin grafting, Skin tumor, Transplantation, Cancer, Carcinogenesis

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