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

Woo Taik Hong; Yoon Kyu Chung

doi:10.12790/ahm.2019.24.3.267

Journal List > Arch Hand Microsurg > v.24(3) > 1143551

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

Case Report

Arch Hand Microsurg 2019;24(3):267-272.

Published online: 5 January 2019

DOI: https://doi.org/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

Woo Taik Hong, Yoon Kyu Chung

Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea

Corresponding author: Yoon Kyu Chung Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, 20 Ilsan-ro, Wonju 26426, Korea TEL: +82-33-741-0611, FAX: +82-33-732-4022, E-mail: ykchung@yonsei.ac.kr, ORCID: https://orcid.org/0000-0002-0401-3912

Received 13 May 201931 July 2019 Accepted 6 August 2019

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

초록

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.

Keywords: Leiomyosarcoma, Micro surgical free flaps

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