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.
International Journal of Surgery Case Reports
|April 18, 2025
Summary
This study highlights limb salvage for aggressive skin cancers like Marjolin's ulcer and soft tissue sarcomas. Early detection and multidisciplinary care, including flap reconstruction, improve patient outcomes.
Area of Science:
- Oncology
- Surgical Reconstruction
- Dermatology
Background:
- Marjolin's ulcer and fungating soft tissue sarcomas are aggressive cutaneous malignancies with high recurrence rates.
- Traditional treatment often involved amputation, but limb salvage is now preferred.
Purpose of the Study:
- To present cases of Marjolin's ulcer and soft tissue sarcoma.
- To detail the diagnostic and management strategies employed.
- To emphasize the importance of limb preservation techniques.
Main Methods:
- Report of two cases of Marjolin's ulcer and one case of fungating soft tissue sarcoma.
- Wide tumor excision followed by abdominal flap reconstruction.
- Detailed clinical presentation, diagnostic workup, and management review.
Main Results:
- Successful limb salvage was achieved in all presented cases.
- Flap reconstruction facilitated oncologic and functional recovery.
- Demonstrated the feasibility of limb-sparing surgery for these advanced malignancies.
Conclusions:
- Early detection and a multidisciplinary approach are crucial for optimizing limb preservation.
- Advancements in reconstructive surgery enable better functional and aesthetic outcomes.
- Limb salvage surgery is a viable alternative to amputation for aggressive cutaneous tumors.
Keywords:
Abdominal flap reconstructionCase seriesLimb sparing surgeryPlastic surgerySarcomaSquamous cell carcinoma
