Neurotized Free Muscle Flaps can Produce MRI Changes Mimicking Tumour Recurrence

Neurotized Free Muscle Flaps can Produce MRI Changes Mimicking Tumour Recurrence

Soft tissue sarcomas are investigated by magnetic resonance imaging (MRI) both for initial staging and follow-up. We describe the presence of increased signal on T2-weighted images caused by a neurotized muscle flap following reconstructive surgery. This raised concern about possible sarcoma recurrence that was not clinically evident. On post-operative imaging of sarcomas the presence of recurr...

Gossypiboma/textiloma mimicking as tumour recurrence.

A surgical sponge accidentally left in a surgical wound, called a textiloma or gossypiboma, is underreported in literature due to medicolegal consequences. Abdominal textiloma may be asymptomatic or present serious gastrointestinal complications such as bowel obstruction, perforation or fistula formation because of misdiagnosis. It may mimic abscess formation in early stage or soft-tissue masse...

Recurrence of Cholesteatoma Mimicking Dural Herniation

Granular cell tumour of the pectoral muscle mimicking breast cancer

We describe the case of a 55 year old female who presented with a mass in her right breast. Mammography confirmed a 2 x 2 cm lump, suspicious of malignancy. The lesion was widely resected. Histological examination revealed this to be a benign granular cell tumour.Granular cell tumour is a rare tumour that very occasionally presents within the breast. It is possibly of Schwann cell origin. Clini...

The Role of Muscle Flaps for Salvage of Failed Perforator Free Flaps.

BACKGROUND Despite the most heroic efforts, sometimes free flaps fail. Perforator free flaps are not invincible and can suffer the same fate. The real challenge is how to decide what is the next best choice for achieving the desired outcome. METHODS Over the past decade, 298 free perforator flaps were used in our institution. Total failure occurred in 16 patients, and partial failure requirin...