Surgical Treatment of Classic Kaposi’s Sarcoma in the Lower Extremity
Objective: Classic Kaposi’s sarcoma is an indolent, angioproliferative tumor that is usually observed in the lower extremities of elderly men. Depending on their stages, skin lesions are maculonodular or vegetative ulcerated masses. Visceral organ or lymph node involvement may rarely occur. There...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2017-03-01
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| Series: | Turkish Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://turkjplastsurg.org/sayilar/79/buyuk/1-66.pdf |
| _version_ | 1797924340487946240 |
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| author | Adem Topkara Adem Özkan Ramazan Hakan Özcan Mustafa Öksüz Neşe Çallı Demirkan |
| author_facet | Adem Topkara Adem Özkan Ramazan Hakan Özcan Mustafa Öksüz Neşe Çallı Demirkan |
| author_sort | Adem Topkara |
| collection | DOAJ |
| description | Objective: Classic Kaposi’s sarcoma is an indolent, angioproliferative tumor that is usually observed in the lower extremities of elderly
men. Depending on their stages, skin lesions are maculonodular or vegetative ulcerated masses. Visceral organ or lymph node involvement
may rarely occur. There is no gold standard treatment for local diseases. Surgical excision, radiotherapy, chemotherapy, and cryotherapy
can be performed. This retrospective study aimed to evaluate the long-term results of surgical excision and skin graft repair of
stage I and II classic Kaposi’s sarcoma skin lesions around the foot and ankle.
Material and Methods: Eleven patients were included. The patients’ age and gender, location of lesion, surgical treatment, follow-up
period, and recurrence were evaluated by retrospectively examining patient records. For the surgical treatment, the lesion was excised
with a 0.5-cm safe skin margin. The defect area was repaired with full-thickness skin grafts that were obtained from the inguinal region
in all patients.
Results: Eight of the patients were male and three were female. The average age of the patients was 69 (54–84) years. All patients were
completely cured. The average follow-up period was 1.8 (1–3) years. No recurrence was observed in any of the patients at the end of the
follow-up period.
Conclusion: Classic Kaposi’s sarcoma skin lesions in the lower extremity can be completely cured by surgical excision, with no recurrence
risk. After surgical excision, using a full-thickness skin graft for repairing primary cutaneous defects, particularly those in the soles, is a
simple and reliable method. |
| first_indexed | 2024-04-10T14:59:53Z |
| format | Article |
| id | doaj.art-66d7a93bf71c4885b490f1962b8a8d06 |
| institution | Directory Open Access Journal |
| issn | 2528-8644 |
| language | English |
| last_indexed | 2024-04-10T14:59:53Z |
| publishDate | 2017-03-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Turkish Journal of Plastic Surgery |
| spelling | doaj.art-66d7a93bf71c4885b490f1962b8a8d062023-02-15T16:07:08ZengWolters Kluwer Medknow PublicationsTurkish Journal of Plastic Surgery2528-86442017-03-012511610.5152/TurkJPlastSurg.2017.2082Surgical Treatment of Classic Kaposi’s Sarcoma in the Lower ExtremityAdem Topkara0Adem Özkan1Ramazan Hakan Özcan2Mustafa Öksüz3Neşe Çallı Demirkan4Department of Plastic, Reconstructive and Aesthetic Surgery, Pamukkale University School of Medicine, Denizli, TurkeyDepartment of Plastic, Reconstructive and Aesthetic Surgery, Pamukkale University School of Medicine, Denizli, TurkeyDepartment of Plastic, Reconstructive and Aesthetic Surgery, Pamukkale University School of Medicine, Denizli, TurkeyClinic of Plastic, Reconstructive and Aesthetic Surgery, Bursa Çekirge State Hospital, Bursa, TurkeyDepartment of Medical Pathology, Pamukkale University School of Medicine, Denizli, TurkeyObjective: Classic Kaposi’s sarcoma is an indolent, angioproliferative tumor that is usually observed in the lower extremities of elderly men. Depending on their stages, skin lesions are maculonodular or vegetative ulcerated masses. Visceral organ or lymph node involvement may rarely occur. There is no gold standard treatment for local diseases. Surgical excision, radiotherapy, chemotherapy, and cryotherapy can be performed. This retrospective study aimed to evaluate the long-term results of surgical excision and skin graft repair of stage I and II classic Kaposi’s sarcoma skin lesions around the foot and ankle. Material and Methods: Eleven patients were included. The patients’ age and gender, location of lesion, surgical treatment, follow-up period, and recurrence were evaluated by retrospectively examining patient records. For the surgical treatment, the lesion was excised with a 0.5-cm safe skin margin. The defect area was repaired with full-thickness skin grafts that were obtained from the inguinal region in all patients. Results: Eight of the patients were male and three were female. The average age of the patients was 69 (54–84) years. All patients were completely cured. The average follow-up period was 1.8 (1–3) years. No recurrence was observed in any of the patients at the end of the follow-up period. Conclusion: Classic Kaposi’s sarcoma skin lesions in the lower extremity can be completely cured by surgical excision, with no recurrence risk. After surgical excision, using a full-thickness skin graft for repairing primary cutaneous defects, particularly those in the soles, is a simple and reliable method.http://turkjplastsurg.org/sayilar/79/buyuk/1-66.pdfKaposi sarcomasurgical excisionskin graft |
| spellingShingle | Adem Topkara Adem Özkan Ramazan Hakan Özcan Mustafa Öksüz Neşe Çallı Demirkan Surgical Treatment of Classic Kaposi’s Sarcoma in the Lower Extremity Turkish Journal of Plastic Surgery Kaposi sarcoma surgical excision skin graft |
| title | Surgical Treatment of Classic Kaposi’s Sarcoma in the Lower Extremity |
| title_full | Surgical Treatment of Classic Kaposi’s Sarcoma in the Lower Extremity |
| title_fullStr | Surgical Treatment of Classic Kaposi’s Sarcoma in the Lower Extremity |
| title_full_unstemmed | Surgical Treatment of Classic Kaposi’s Sarcoma in the Lower Extremity |
| title_short | Surgical Treatment of Classic Kaposi’s Sarcoma in the Lower Extremity |
| title_sort | surgical treatment of classic kaposi s sarcoma in the lower extremity |
| topic | Kaposi sarcoma surgical excision skin graft |
| url | http://turkjplastsurg.org/sayilar/79/buyuk/1-66.pdf |
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