Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
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Flap Reconstruction and Histological Review after Extensive Resection of Adult Type Fibrosarcoma

성인형 섬유육종의 광범위 절제 후 피판 재건 및 조직학적 고찰

  • Young Soo Yoon (Department of Plastic and Reconstructive Surgery, Nowon Eulji Medical Center, Eulji University) ;
  • Hojung Lee (Department of Pathology, Nowon Eulji Medical Center, Eulji University) ;
  • Hye Kyung Lee (Department of Plastic and Reconstructive Surgery, Nowon Eulji Medical Center, Eulji University)
  • 윤영수 (을지대학교 의과대학 성형외과학교실 ) ;
  • 이호정 (을지대학교 의과대학 병리학교실) ;
  • 이혜경 (을지대학교 의과대학 성형외과학교실 )
  • Received : 2023.03.10
  • Accepted : 2023.05.17
  • Published : 2023.11.30
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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.

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References

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