Case Report


Malignant soft tissue tumor, wide excision, and sural flap

,  ,  

1 Staff of Orthopaedics & Traumatology Department, Gadjah Mada University, Sardjito Hospital, Yogyakarta, Indonesia

2 Staff of Orthopaedics & Traumatology Department, Gadjah Mada University, Sardjito Hospital, Yogyakarta, Indonesia

3 Resident of Orthopaedics & Traumatology Department, Gadjah Mada University, Sardjito Hospital, Yogyakarta, Indonesia

Address correspondence to:

Arie Nugroho

Resident of Orthopaedics & Traumatology Department , Gadjah Mada University, Sardjito Hospital, Yogyakarta,

Indonesia

Message to Corresponding Author


Article ID: 100948Z01RM2018

doi: 10.5348/100948Z01RM2018CR

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How to cite this article

Magetsari R, Sakti YM, Nugroho A. Malignant soft tissue tumor, wide excision, and sural flap. Int J Case Rep Images 2018;9:100948Z01RM2018.

ABSTRACT


Introduction: Soft tissue malignancy always appear in orthopaedic practice. The example of soft tissue malignancy is malignant melanoma. The treatment for soft tissue malignancy is wide excision. Soft tissue malignancy which done wide excision, can cause skin defect. Orthopedic surgeon need skin flap technique to coverage the skin defect after performed wide excision tumor.

Case Report: This case report explains about wide excision of melanoma maligna in calcaneal region in patient male, 72-year-old and the defect in calcaneal region with sural flap. Melanoma maligna is a one type of skin cancer from melanocyte. Melanocyte is pigment-containing cells in the skin. The incidence of melanoma is increasing by every year (6% per year). The main treatment in melanoma is wide surgical excision of the tumor. Wide excision of the tumor in the calcaneal region can made defect of skin. Because of it, we can closure the defect which caused by wide excision with sural flap. Sural flap is fasciocutaneous flap, made up of skin, subcutaneous fat, superficial and deep fascia of the posterior part of the lower leg, sural nerve, sural vein, and superficial sural artery.

Conclusion: We want to recommend sural flap as a good choice to closure defect it from wide excision of soft tissue malignancy (melanoma maligna) in the calcaneal region.

Keywords: Case report, Melanoma maligna, Soft tissue tumor malignancy, Sural flap, Split thickness skin graft, Wide excision

SUPPORTING INFORMATION


Author Contributions:

Arie Nugroho - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Yudha Sakti - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Rahadyan Magetsari - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published

Guaranter of Submission

The corresponding author is the guarantor of submission.

Source Of Support

None

Consent Statement

Written informed consent was obtained from the patient for publication of this case report.

Data Availability

All relevant data are within the paper and its Supporting Information files.

Conflict of Interest

Authors declare no conflict of interest.

Copyright

© 2018 Rahadyan Magetsari et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.


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