Thoracoabdominal flap reconstruction after resection of superficial soft-tissue sarcomas in the chest wall. Issue 1 (29th January 2021)

• Record Type: Journal Article
• Authors: Sakamoto, Akio; Noguchi, Takashi; Matsuda, Shuichi
• Is Part Of: Journal of surgical case reports. Volume 2021:Issue 1(2021)
• Publication Date: 2021-01-29
• Subjects: Surgery -- Periodicals; Surgery -- Case studies -- Periodicals; 617.005
• DOI: 10.1093/jscr/rjaa571
• Languages: English
• ISSNs: 2042-8812

Abstract

Abstract: The thoracoabdominal flap is a rotation flap, and is well known for reconstruction of defects following resections for breast cancer, but the flap is not well known for reconstructing defects following resections of soft-tissue sarcomas involving the chest wall. Here we present two patients with superficial chest wall sarcomas consisting of a dermatofibrosarcoma protuberans in a 42-year-old man and a recurrent myxofibrosarcoma in a 76-year-old man. The tumors were resected with the surrounding tissue. The defect was reconstructed with a thoracoabdominal flap elevated from the ipsilateral thorax (medially-based flap). Neither case developed necrosis of the flap or reduced shoulder range of motion. The chest wall presents few options for a donor vessel. The thoracoabdominal flap has an axial blood supply and does not require a microsurgical procedure. A thoracoabdominal flap is a suitable reconstruction option for a defect after the resection of a superficial soft-tissue sarcoma in the chest wall.