Resection and reconstruction of a giant primitive neuroectodermal tumour of the abdominal wall with an ultra-long lateral circumflex femoral artery musculocutaneous flap: a case report
Abstract Background Primitive neuroectodermal tumours are clinically rare. Here, we report a case of a large peripheral primitive neuroectodermal tumour of the abdominal wall. The defect was reconstructed with the longest lateral circumflex femoral artery musculocutaneous flap reported to date. Case...
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| Format: | Article |
| Language: | English |
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BMC
2021-02-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-021-01095-5 |
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| author | Xin Zhou Pan You Shuqing Huang Xiang Li Tongchun Mao Anming Liu Rongshuai Yan Yiming Zhang Wenlei Zhuo Shaoliang Wang |
| author_facet | Xin Zhou Pan You Shuqing Huang Xiang Li Tongchun Mao Anming Liu Rongshuai Yan Yiming Zhang Wenlei Zhuo Shaoliang Wang |
| author_sort | Xin Zhou |
| collection | DOAJ |
| description | Abstract Background Primitive neuroectodermal tumours are clinically rare. Here, we report a case of a large peripheral primitive neuroectodermal tumour of the abdominal wall. The defect was reconstructed with the longest lateral circumflex femoral artery musculocutaneous flap reported to date. Case presentation A 15-year-old male suffered rupture and bleeding of an abdominal wall mass with a volume of approximately 23*18*10 cm3, involving the whole layer of the abdominal wall. Pathological examination revealed a peripheral primitive neuroectodermal tumour. The tumour was removed via oncologic resection, and the abdominal wall was reconstructed with a bilateral 44*8 cm2 lateral circumflex femoral artery musculocutaneous flap combined with a titanium polypropylene patch. The patient had smooth recovery postoperative, and the functions of the donor and recipient areas of the flap were not significantly affected. Conclusion In this case report, we describe a rare primitive neuroectodermal tumour of the abdominal wall, which invaded almost the entire abdominal wall due to delay of treatment. After thoroughly removing the tumour, we immediately reconstructed the abdominal wall with an ultra-long lateral circumflex femoral artery musculocutaneous flap and achieved better appearance and function after the operation. This case suggests that we should adopt an integrated scheme of surgery combined with radiotherapy and chemotherapy in the treatment of peripheral primitive neuroectodermal tumours. Under the premise of determining the blood supply, the lateral circumflex femoral artery musculocutaneous flap can be cut to a sufficient length. |
| first_indexed | 2024-12-14T10:29:46Z |
| format | Article |
| id | doaj.art-64d4bfb28376406d8c193482c8f710bf |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-12-14T10:29:46Z |
| publishDate | 2021-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-64d4bfb28376406d8c193482c8f710bf2022-12-21T23:06:11ZengBMCBMC Surgery1471-24822021-02-012111610.1186/s12893-021-01095-5Resection and reconstruction of a giant primitive neuroectodermal tumour of the abdominal wall with an ultra-long lateral circumflex femoral artery musculocutaneous flap: a case reportXin Zhou0Pan You1Shuqing Huang2Xiang Li3Tongchun Mao4Anming Liu5Rongshuai Yan6Yiming Zhang7Wenlei Zhuo8Shaoliang Wang9Department of Plastic and Cosmetic Surgery, Traditional Chinese Medicine Hospital, Southwest Medical UniversityDepartment of Plastic and Cosmetic Surgery, Xinqiao Hospital, Army Medical UniversityDepartment of Plastic and Cosmetic Surgery, Xinqiao Hospital, Army Medical UniversityDepartment of Plastic and Cosmetic Surgery, Xinqiao Hospital, Army Medical UniversityDepartment of Plastic and Cosmetic Surgery, Xinqiao Hospital, Army Medical UniversityDepartment of Plastic and Cosmetic Surgery, Traditional Chinese Medicine Hospital, Southwest Medical UniversityDepartment of Plastic and Cosmetic Surgery, Xinqiao Hospital, Army Medical UniversityDepartment of Plastic and Cosmetic Surgery, Xinqiao Hospital, Army Medical UniversityCancer Institute, Xinqiao Hospital, Army Medical UniversityDepartment of Plastic and Cosmetic Surgery, Xinqiao Hospital, Army Medical UniversityAbstract Background Primitive neuroectodermal tumours are clinically rare. Here, we report a case of a large peripheral primitive neuroectodermal tumour of the abdominal wall. The defect was reconstructed with the longest lateral circumflex femoral artery musculocutaneous flap reported to date. Case presentation A 15-year-old male suffered rupture and bleeding of an abdominal wall mass with a volume of approximately 23*18*10 cm3, involving the whole layer of the abdominal wall. Pathological examination revealed a peripheral primitive neuroectodermal tumour. The tumour was removed via oncologic resection, and the abdominal wall was reconstructed with a bilateral 44*8 cm2 lateral circumflex femoral artery musculocutaneous flap combined with a titanium polypropylene patch. The patient had smooth recovery postoperative, and the functions of the donor and recipient areas of the flap were not significantly affected. Conclusion In this case report, we describe a rare primitive neuroectodermal tumour of the abdominal wall, which invaded almost the entire abdominal wall due to delay of treatment. After thoroughly removing the tumour, we immediately reconstructed the abdominal wall with an ultra-long lateral circumflex femoral artery musculocutaneous flap and achieved better appearance and function after the operation. This case suggests that we should adopt an integrated scheme of surgery combined with radiotherapy and chemotherapy in the treatment of peripheral primitive neuroectodermal tumours. Under the premise of determining the blood supply, the lateral circumflex femoral artery musculocutaneous flap can be cut to a sufficient length.https://doi.org/10.1186/s12893-021-01095-5Primitive neuroectodermal tumourMusculocutaneous flapTitanium polypropylene patch |
| spellingShingle | Xin Zhou Pan You Shuqing Huang Xiang Li Tongchun Mao Anming Liu Rongshuai Yan Yiming Zhang Wenlei Zhuo Shaoliang Wang Resection and reconstruction of a giant primitive neuroectodermal tumour of the abdominal wall with an ultra-long lateral circumflex femoral artery musculocutaneous flap: a case report BMC Surgery Primitive neuroectodermal tumour Musculocutaneous flap Titanium polypropylene patch |
| title | Resection and reconstruction of a giant primitive neuroectodermal tumour of the abdominal wall with an ultra-long lateral circumflex femoral artery musculocutaneous flap: a case report |
| title_full | Resection and reconstruction of a giant primitive neuroectodermal tumour of the abdominal wall with an ultra-long lateral circumflex femoral artery musculocutaneous flap: a case report |
| title_fullStr | Resection and reconstruction of a giant primitive neuroectodermal tumour of the abdominal wall with an ultra-long lateral circumflex femoral artery musculocutaneous flap: a case report |
| title_full_unstemmed | Resection and reconstruction of a giant primitive neuroectodermal tumour of the abdominal wall with an ultra-long lateral circumflex femoral artery musculocutaneous flap: a case report |
| title_short | Resection and reconstruction of a giant primitive neuroectodermal tumour of the abdominal wall with an ultra-long lateral circumflex femoral artery musculocutaneous flap: a case report |
| title_sort | resection and reconstruction of a giant primitive neuroectodermal tumour of the abdominal wall with an ultra long lateral circumflex femoral artery musculocutaneous flap a case report |
| topic | Primitive neuroectodermal tumour Musculocutaneous flap Titanium polypropylene patch |
| url | https://doi.org/10.1186/s12893-021-01095-5 |
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