Cancer Reconstructive Surgery

نویسنده

  • Christopher Adin
چکیده

Background: Resection of oral, cutaneous and subcutaneous tumors now occupies a significant portion of our soft tissue surgery referral practice. Cutaneous mast cell tumors are the most common skin tumor in dogs, comprising up to 21% of cutaneous malignancies. The incidence of soft tissue sarcomas is only slightly less, with these invasive malignancies constituting approximately 15% of all skin and subcutaneous tumors in dogs. Interestingly, oral malignancies, soft tissue sarcomas (STS) and mast cell tumors (MCT) are all characterized by a high rate of local recurrence unless they are excised with wide margins of normal tissue. This biological behavior led to the recommendation that STS and MCT should be removed with a minimum of 2 cm lateral skin margins, and including a deep fascial plane. Oral tumors are removed with a 1-2 cm margin which can cause significant morbidity due to the location. Adherence to this dogma led to a need for advanced reconstructive procedures to repair tissue defects created by aggressive resections. Tumors on the limbs were often treated by amputation. Over the last decade, this trend has reversed. With the increasing availability of radiation therapy and novel chemotherapeutic agents, oncologists are now requesting cytoreductive therapy in lieu of wide resection, preserving limb function and avoiding reconstructive procedures by using adjunctive therapies to prevent tumor recurrence. Nonetheless, complete resection and tissue reconstruction often remains the most economical, single stage therapy for locally aggressive neoplasia.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Plastic and Reconstructive Surgery: Approaches and Techniques.

plastic and reconstructive surgery approaches and techniques plastic and reconstructive surgery approaches and techniques plastic and reconstructive surgery plastic and reconstructive surgery approaches and plastic and reconstructive surgery approaches in the plastic and reconstructive surgery ceydeli plastic and reconstructive surgery hopkins medicine plastic and reconstructive surgeryapproach...

متن کامل

Complete coverage of a tissue expander by a musculofascial pocket including the sternalis muscle during breast reconstruction

Naohiro Ishii, Yusuke Shimizu, Jiro Ando, Michiko Harao, Masaru Takemae, Kazuo Kishi Department of Plastic and Reconstructive Surgery, Tochigi Cancer Center, Tochigi; Department of Plastic and Reconstructive Surgery, University of the Ryukyus Hospital, Okinawa; Department of Breast Surgery, Tochigi Cancer Center, Tochigi; Department of Plastic and Reconstructive Surgery, Keio University, Tokyo,...

متن کامل

[Why do women refuse reconstructive breast surgery after mastectomy?].

The implementation of mammographic screening and neo-adjuvant therapeutics has profoundly modified breast cancer surgery, making it less aggressive. Despite these progresses, mastectomies must be performed in more than 20% of breast cancer cases. Psychological disorders following mastectomy are numerous and lead to various alterations of self-esteem, femininity and sexuality. Reconstructive bre...

متن کامل

Reconstructive Plastic Surgery of Pressure Ulcers.

reconstructive plastic surgery of pressure ulcers springer reconstructive plastic surgery of pressure ulcers pressure ulcer management / reconstructive plastic surgery reconstructive plastic surgery of pressure ulcers reconstructive plastic surgery of pressure ulcers barott surgical management of pressure ulcers reconstructive surgery of pressure ulcers around the plastic and reconstructive sur...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2012