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Microcystic adnexal carcinoma: reconstruction of a large centrofacial defect.

Lopez M, Cole EL - Plast Reconstr Surg Glob Open (2014)

Bottom Line: The patient was left with a large facial defect and remaining positive margins.We show that the patient's function and quality of life were not impeded despite reconstruction in light of positive margins for tumor.We believe that this case will draw the surgeon's attention to the possibility of palliative reconstruction in the treatment of a patient with large debilitating facial defects after microcystic adnexal carcinoma excision.

View Article: PubMed Central - PubMed

Affiliation: Division of Plastic Surgery, Department of Surgery, University of Texas Medical Branch, Galveston, Tex.

ABSTRACT

Summary: We report a rare case of a large facial microcystic adnexal carcinoma in an elderly patient who underwent several rounds of excision. The patient was left with a large facial defect and remaining positive margins. The decision was made to stop further excision and proceed with reconstructive surgery. We show that the patient's function and quality of life were not impeded despite reconstruction in light of positive margins for tumor. We believe that this case will draw the surgeon's attention to the possibility of palliative reconstruction in the treatment of a patient with large debilitating facial defects after microcystic adnexal carcinoma excision.

No MeSH data available.


Related in: MedlinePlus

Preoperative photograph showing the large centrofacial defect after MMS.
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Figure 2: Preoperative photograph showing the large centrofacial defect after MMS.

Mentions: The patient was then referred to plastic surgery with a 12 × 8 cm soft-tissue defect involving the nose, glabella, and bilateral cheeks (Fig. 2). Multiple reconstructive options were discussed. Coverage of the nasal defect was obtained with full-thickness skin grafts from bilateral supraclavicular fossae and the midline neck. Closure of the forehead and cheek defects was obtained with an A:T advancement flap and bilateral Mustarde cheek flaps, respectively. The patient and her family elected for this more cosmetically appealing option understanding that flap coverage might obscure future tumor surveillance. Successful coverage was achieved (Fig. 3). At a 3-year follow-up, the patient was satisfied with her functional and cosmetic outcome. No clinical evidence of metastasis or persistent tumor was identified.


Microcystic adnexal carcinoma: reconstruction of a large centrofacial defect.

Lopez M, Cole EL - Plast Reconstr Surg Glob Open (2014)

Preoperative photograph showing the large centrofacial defect after MMS.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4255897&req=5

Figure 2: Preoperative photograph showing the large centrofacial defect after MMS.
Mentions: The patient was then referred to plastic surgery with a 12 × 8 cm soft-tissue defect involving the nose, glabella, and bilateral cheeks (Fig. 2). Multiple reconstructive options were discussed. Coverage of the nasal defect was obtained with full-thickness skin grafts from bilateral supraclavicular fossae and the midline neck. Closure of the forehead and cheek defects was obtained with an A:T advancement flap and bilateral Mustarde cheek flaps, respectively. The patient and her family elected for this more cosmetically appealing option understanding that flap coverage might obscure future tumor surveillance. Successful coverage was achieved (Fig. 3). At a 3-year follow-up, the patient was satisfied with her functional and cosmetic outcome. No clinical evidence of metastasis or persistent tumor was identified.

Bottom Line: The patient was left with a large facial defect and remaining positive margins.We show that the patient's function and quality of life were not impeded despite reconstruction in light of positive margins for tumor.We believe that this case will draw the surgeon's attention to the possibility of palliative reconstruction in the treatment of a patient with large debilitating facial defects after microcystic adnexal carcinoma excision.

View Article: PubMed Central - PubMed

Affiliation: Division of Plastic Surgery, Department of Surgery, University of Texas Medical Branch, Galveston, Tex.

ABSTRACT

Summary: We report a rare case of a large facial microcystic adnexal carcinoma in an elderly patient who underwent several rounds of excision. The patient was left with a large facial defect and remaining positive margins. The decision was made to stop further excision and proceed with reconstructive surgery. We show that the patient's function and quality of life were not impeded despite reconstruction in light of positive margins for tumor. We believe that this case will draw the surgeon's attention to the possibility of palliative reconstruction in the treatment of a patient with large debilitating facial defects after microcystic adnexal carcinoma excision.

No MeSH data available.


Related in: MedlinePlus