Korean J Head Neck Oncol.  2023 Nov;39(2):7-11. 10.21593/kjhno/2023.39.2.7.

Flap Reconstruction and Histological Review after Extensive Resection of Adult Type Fibrosarcoma

• Yoon YS
• Lee H
• Lee HK

• KMID: 2548686
• DOI: http://doi.org/10.21593/kjhno/2023.39.2.7

Abstract

Adult fibrosarcoma is a malignant tumor comprising of spindle-shaped fibroblasts with variable collagen production. Due to their aggressive nature and high probability of local tumor recurrence, these tumors require accurate diagnosis and resection according to guidelines. A 57-year-old male presented to the clinic with a complaint of a palpable growing mass in the left scapular area. Examination of the back revealed a 6 cm protruding tumor with a nodular surface. We performed a wide excision, including the infraspinatus fascia layer and subsequent reconstruction using a parascapular island flap. Histopathological analysis demonstrated the typical microscopic features of adult fibrosarcoma. At the 3-year follow-up, there was no evidence of local recurrence and the resection margin was completely clear of tumor.

Keyword

Adult fibrosarcoma⋅Wide excision⋅Parascapular flap