Cervico-facial flapにより再建した悪性線維性組織球腫の1例

概要

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Malignant fibrous histiocytoma (MFH) is a malignant tumor of the soft tissue which is mainly found extremities and breech. We showed five cases of MFH we had experienced, and we reported one case with MFH of the face, who is 92-year-old female. She visited us with the complaint of the nodule on her left cheek in 1996. Skin biopsy was performed and the pathological report showed MFH.According to the general examinations, there was no metastasis. Wide excision was performed with maximal 5cm margin and zygomatic bone was partially resected. The tissue defect was reconstructed with a cervico-facial flap, glabellar flap and skin grafting.If the first operation is inappropriate, MFH tends to recur and metastasize. So enough resection is necessary. A cervico-facial flap does no require microsurgery and gives us cosmetically excellent results. We conclude that a cervico-facial flap is suitable reconstructive method in this case.