The acromion thoracic flap: a reconstructive resource after exeresis of a parotid fibrosarcoma

Sarcomas are rather uncommon in the salivary glands and have a high tendency towards recurrence. The treatment of choice is surgery, with the first surgical procedure being crucial, as the small size of the tumor is accompanied by the absence of post-surgery and post-radiotherapy fibrosis, which facilitates the surgery. The evident tendency towards recurrence makes it advisable to be radical in the exeresis. Often we have to consider a reconstructive period. Negative surgical margins increases the rates of local control. Treatment with radiotherapy is the complementary treatment indicated for patients with surgical margins less than 2 mm or positive. It has been observed that this treatment improves the local control of the illness. We present a case of parotid fibrosarcoma of a low grade of malignancy that was treated by means of parotidectomy and post-operative radiotherapy. The patient presented up to three recurrences, one of which required an acromion thoracic flap in order to reconstruct the surgical defect. Despite the treatment, the patient ended up dying because one of the recurrences was not operable.