Reconstructive strategies using abdominal flaps for cutaneous malignancies: A case series
Aditya Sriharsha Pedaprolu1, Suhas Jajoo1, Bhushan Jajoo1
1Department of General Surgery, Jawaharlal Nehru Institute of Medical College, Datta Meghe Institute of Higher Education and Research, Sawangi, (Meghe) Wardha, Maharashtra, India.
Introduction And Importance:
Cutaneous lesions such as Marjolin's ulcer-a malignant transformation of chronic ulcerative wounds or scars into squamous cell carcinoma-and fungating soft tissue sarcomas, which are rapidly progressing tumours originating from mesenchymal tissues, exhibit a diverse range of clinical and pathological characteristics. These aggressive malignancies are characterized by high recurrence rates and poor prognoses. Traditionally, amputation was the primary treatment; however, limb salvage has become the preferred approach, necessitating extensive reconstruction with flap reconstruction.
Case Presentation:
In this report, we present two cases of Marjolin's ulcer and one case of a fungating soft tissue sarcoma, detailing their clinical presentations, diagnostic workups, and management. Each patient underwent wide tumour excision followed by abdominal flap reconstruction.
Clinical Discussion:
The shift from amputation to limb-sparing surgery highlights the advancements in oncologic and reconstructive techniques, allowing for better functional and aesthetic outcomes.
Conclusion:
This report underscores the critical role of early detection and a multidisciplinary approach in optimizing limb preservation and functional outcomes.
