Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
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Flap Reconstruction and Histological Review after Extensive Resection of Adult Type Fibrosarcoma

성인형 섬유육종의 광범위 절제 후 피판 재건 및 조직학적 고찰

  • Young Soo Yoon (Department of Plastic and Reconstructive Surgery, Nowon Eulji Medical Center, Eulji University) ;
  • Hojung Lee (Department of Pathology, Nowon Eulji Medical Center, Eulji University) ;
  • Hye Kyung Lee (Department of Plastic and Reconstructive Surgery, Nowon Eulji Medical Center, Eulji University)
  • 윤영수 (을지대학교 의과대학 성형외과학교실 ) ;
  • 이호정 (을지대학교 의과대학 병리학교실) ;
  • 이혜경 (을지대학교 의과대학 성형외과학교실 )
  • Received : 2023.03.10
  • Accepted : 2023.05.17
  • Published : 2023.11.30
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Abstract

Adult fibrosarcoma is a malignant tumor comprising of spindle-shaped fibroblasts with variable collagen production. Due to their aggressive nature and high probability of local tumor recurrence, these tumors require accurate diagnosis and resection according to guidelines. A 57-year-old male presented to the clinic with a complaint of a palpable growing mass in the left scapular area. Examination of the back revealed a 6 cm protruding tumor with a nodular surface. We performed a wide excision, including the infraspinatus fascia layer and subsequent reconstruction using a parascapular island flap. Histopathological analysis demonstrated the typical microscopic features of adult fibrosarcoma. At the 3-year follow-up, there was no evidence of local recurrence and the resection margin was completely clear of tumor.

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References

  1. Bahrami A, Folpe AL. Adult-type fibrosarcoma: A reevaluation of 163 putative cases diagnosed at a single institution over a 48-year period. Am J Surg Pathol. 2010;34:1504-1513.
  2. Cozzolino I, Caleo A, Di CV, Cinelli M, Carlomagno C, Garzi A, et al. Cytological diagnosis of adult-type fibrosarcoma of the neck in an elderly patient. Report of one case and review of the literature. BMC Surg. 2013;13:2-42.
  3. Wilkinson R, Sonarkar R, Nazar ZK, Sonawane S, Dhole R. Fibrosarcoma of anterior abdominal wall: A rare case report. Int J Surg Case Rep. 2020;77:210-213.
  4. Wang H, Nie P, Dong C, Li J, Huang Y, Hao D. CT and MRI findings of soft tissue adult fibrosarcoma in extremities. Biomed Res Int. 2018;2018:6075705.
  5. Limon J, Szadowska A, Iliszko M, Babinska M, Mrozek K, Jaskiewicz J, et al. Recurrent chromosome changes in two adult fibrosarcomas. Genes Chromosomes Cancer. 1998;21:119-123.
  6. Augsburger D, Nelson PJ, Kalinski T, Udelnow A, Knosel T, Hofstetter M, et al. Current diagnostics and treatment of fibrosarcoma -perspectives for future therapeutic targets and strategies. Oncotarget. 2017;8:104638- 104653.
  7. Nakayama H, Kamiji I, Naruse K, Miyazaki E, Hiroi M, Kiyoku H, et al. Well differentiated adult-type fibrosarcoma arising from the occipital subcutaneous tissue in a 17-year-old man: Case report with immunohistochemical study. Jpn J Clin Oncol. 1998;28:511-516.
  8. Cormier JN, Pollock RE. Soft tissue sarcomas. CA Cancer J Clin. 2004;54:94-109.
  9. Barwick WJ, Goodkind DJ, Serafin D. The free scapular flap. Plast Reconstr Surg. 1982;69:779-787.
  10. Nassif TM, Vidal L, Bovet JL, Baudet J. The parascapular flap: A new cutaneous microsurgical free flap. Plast Reconstr Surg. 1982;69:591-600.
  11. dos Santos LF. The vascular anatomy and dissection of the free scapular flap. Plast Reconstr Surg. 1984;73:599-604.
  12. Kim PS, Lewis VL Jr. Use of a pedicled parascapular flap for anterior shoulder and arm reconstruction. Plast Reconstr Surg. 1985;76:942-944.
  13. Giuglea C, Coman C, Terzea D, Dumitrache S, Marinescu SA. A rare case of soft tissue sarcoma of the scapular area - case presentation. Internal Medicine Review. 2016.