Arch Hand Microsurg.  2019 Sep;24(3):267-272. 10.12790/ahm.2019.24.3.267.

Treatment of Cutaneous Leiomyosarcoma on the Cheek with Superficial Circumflex Iliac Artery Perforator Fasciocutaneous Free Flap: A Case Report

• Hong WT
• Chung YK

• KMID: 2456252
• DOI: http://doi.org/10.12790/ahm.2019.24.3.267

Abstract

Cutaneous leiomyosarcoma (CLM) is a rare soft tissue sarcoma derived from the dermis or subcutaneous portion of the skin. Recently, a young male patient presented with a very rare case of CLM. This patient was 33 years old and a smoker with no specific medical or trauma history. During the clinical examination, a 1.6×0.8×1.7 cm sized, oval shape, hard, fixed, and non-tender mass on the right cheek was noted. He underwent a simple excision at first and pathology reported CLM of grade 1. We performed a muscle depth wide excision again with a 1 cm margin for the superior medial side and a 2 cm margin for the inferior lateral side. Lesion coverage was ensured by a superficial circumflex iliac artery perforator fasciocutaneous free flap after confirming the free margin sections.

Keyword

Leiomyosarcoma; Micro surgical free flaps

MeSH Terms

Cheek*
Dermis
Free Tissue Flaps*
Humans
Iliac Artery*
Leiomyosarcoma*
Male
Pathology
Sarcoma
Skin

Figure

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  Fig. 1. Ultrasonography.

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  Fig. 2. Pathology (H&E, ×400).

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  Fig. 3. Preoperation.

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  Fig. 4. Intra operation: wide excision.

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  Fig. 5. Intra operation: flap elevation.

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  Fig. 6. Immediate postoperation.

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  Fig. 7. Ninety days after surgery.

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