Kaposiform hemangioendothelioma is a rare, locally aggressive vascular neoplasm that mainly occurs during childhood. the tumor is often located on the skin but may be deeper. The development of KHE in adults is very rare, and its evolution towards KMP is exceptional. The KMP is defined as the combination of a deep thrombocytopenia and a vascular tumor, usually a KHE or a tuftted angioma. It is a life threatening pathology, because of the major risk of bleeding, and compression of vital structure. A multidisciplinary approach to treatment has to be employed.
Les lipomes sous-cutanés sont des tumeurs, très fréquentes qui siègent préférentiellement au niveau du cou et du tronc. Cependant, d´autres localisations peuvent se voir, bien qu´elles soient rares et inhabituelles, et le médecin doit penser au lipome, devant toutes tuméfactions sous cutanées y siégeant. Les auteurs rapportent 3 cas de localisations rares des lipomes, tout en détaillant le diagnostic et le traitement dont ces patients ont bénéficié. Ces localisations sont la première commissure interdigitale de la main, le doigt de pied et le canthus externe de l´œil.
Background : Solitary fibrous tumours rare spindle cell neoplasms, initially regarded as occurring exclusively within the thoracic cavity with a pleural origin. We report an unusual and rare case, of solitary fibrous tumor of the skin. Whose evolution has been marked by several recurrences after surgical excision Case Report: 49 year old man, with a dorsolumbar cutaneous tumor.
Original Research ArticleIntroduction: The reconstruction of defects in the foot and ankle is a real challenge for plastic surgeons. Material and methods: A retrospective study of a series made up of 18 patients who benefited, in the plastic surgery department of the Mohamed V Military Hospital in Rabat, from January 2015 to December 31, 2018, of a reconstruction of ankle skin substance loss and of the neck of the foot by a sural neurocutaneous flap with distal pedicle, using a fascio-fatty strip containing the pedicle more than 3cm. while specifying the inclusion and exclusion criteria. Results: We noticed, a male predominance. The average age is 41.6 years old. The coverage interested the internal malleolus in ten cases, the external malleolus in seven cases, and the instep for 3 patients. Ten out of eighteen patients benefited from an intervention in two surgical times, covering the skin defect by the flap with a large pedicle and skin graft of the donor area secondarily. Minimal and manageable complications were noticed. Discussion: Anatomical reminder and the details of our technique, it is a reliable means for covering defects in the instep and ankle, a comparison was made with other plastic surgery procedures. Advantages and disadvantages of our technique; all stressing the need to take a pedicle wide more than three centimeters. Conclusion: A technique of choice for covering losses of substance in the ankle and the instep. The aim of this study was to report our experience and to assess the reliability of this flap by taking a large pedicle.
The management of facial wounds poses unique challenges to the surgeon, given the specialized nature of facial tissue and the aesthetic importance of the face. The wide range of wounds varies from simple superficial skin lacerations to extensive, complex facial injury. The management of the complicated injuries is discussed in relation to the location and the mechanism of injury. Therefore, such cases are most appropriately managed by Surgeons who have a thorough knowledge of applied anatomy, an aesthetic sense and meticulous atraumatic tissue handling expertise, coupled with surgical skill to repair all the composite structures simultaneously. We report a series of cases of complex facial wounds we put forward the difficulties associated and provide a helpful systematic approach to evaluating and treating them.
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