Resection and reconstruction of a giant primitive neuroectodermal tumour of the abdominal wall with an ultra-long lateral circumflex femoral artery musculocutaneous flap: a case report.
机构:[1]Department of Plastic and Cosmetic Surgery, Traditional Chinese MedicineHospital, Southwest Medical University, Luzhou, Sichuan 646000, People’sRepublic of China[2]Department of Plastic and Cosmetic Surgery, XinqiaoHospital, Army Medical University, Xinqiao Road, Sha Ping Ba District, Chongqing400037, People’s Republic of China[3]Cancer Institute, Xinqiao Hospital,Army Medical University, Chongqing 400037, People’s Republic of China
Primitive neuroectodermal tumours are clinically rare. Here, we report a case of a large peripheral primitive neuroectodermal tumour of the abdominal wall. The defect was reconstructed with the longest lateral circumflex femoral artery musculocutaneous flap reported to date.
A 15-year-old male suffered rupture and bleeding of an abdominal wall mass with a volume of approximately 23*18*10 cm3, involving the whole layer of the abdominal wall. Pathological examination revealed a peripheral primitive neuroectodermal tumour. The tumour was removed via oncologic resection, and the abdominal wall was reconstructed with a bilateral 44*8 cm2 lateral circumflex femoral artery musculocutaneous flap combined with a titanium polypropylene patch. The patient had smooth recovery postoperative, and the functions of the donor and recipient areas of the flap were not significantly affected.
In this case report, we describe a rare primitive neuroectodermal tumour of the abdominal wall, which invaded almost the entire abdominal wall due to delay of treatment. After thoroughly removing the tumour, we immediately reconstructed the abdominal wall with an ultra-long lateral circumflex femoral artery musculocutaneous flap and achieved better appearance and function after the operation. This case suggests that we should adopt an integrated scheme of surgery combined with radiotherapy and chemotherapy in the treatment of peripheral primitive neuroectodermal tumours. Under the premise of determining the blood supply, the lateral circumflex femoral artery musculocutaneous flap can be cut to a sufficient length.
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出版当年[2021]版:
大类|4 区医学
小类|4 区外科
最新[2023]版:
大类|3 区医学
小类|3 区外科
第一作者:
第一作者机构:[1]Department of Plastic and Cosmetic Surgery, Traditional Chinese MedicineHospital, Southwest Medical University, Luzhou, Sichuan 646000, People’sRepublic of China
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推荐引用方式(GB/T 7714):
Zhou Xin,You Pan,Huang Shuqing,et al.Resection and reconstruction of a giant primitive neuroectodermal tumour of the abdominal wall with an ultra-long lateral circumflex femoral artery musculocutaneous flap: a case report.[J].BMC surgery.2021,21(1):90.doi:10.1186/s12893-021-01095-5.
APA:
Zhou Xin,You Pan,Huang Shuqing,Li Xiang,Mao Tongchun...&Wang Shaoliang.(2021).Resection and reconstruction of a giant primitive neuroectodermal tumour of the abdominal wall with an ultra-long lateral circumflex femoral artery musculocutaneous flap: a case report..BMC surgery,21,(1)
MLA:
Zhou Xin,et al."Resection and reconstruction of a giant primitive neuroectodermal tumour of the abdominal wall with an ultra-long lateral circumflex femoral artery musculocutaneous flap: a case report.".BMC surgery 21..1(2021):90