Iatrogenic implantation of soft tissue sarcoma at skin graft donor site: Delayed manifestation of an avoidable complication

Pai, Vishwas D.; Puri, Ajay; Shridhar, Epari; Gulia, Ashish

doi:10.4103/2278-330x.155704

Cited by 6 publications

(3 citation statements)

References 9 publications

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“…Additionally, Duek et al have described a case of iatrogenic seeding of osteosarcoma in a tracheotomy site 11. Pai et al described a case of iatrogenic implantation of high grade spindle cell sarcoma to the left thigh that occurred 8 years after initial surgery 12. Of note, there are infrequent reports of head and neck primary cancers with isolated graft/flap donor site metastasis or percutaneous endoscopic gastrostomy tumour implantation 13–16.…”

Section: Discussionmentioning

confidence: 99%

Left cheek sclerosing rhabdomyosarcoma and development of isolated free flap donor site metastasis

et al. 2022

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Rhabdomyosarcoma is a rare mesenchymal malignancy with four different morphological subtypes: alveolar, embryonal, pleomorphic and spindle cell/sclerosing. It is the most common soft tissue sarcoma of children and adolescents but occurs less commonly in adults. We describe a male patient in his 20s with sclerosing rhabdomyosarcoma of the left cheek who developed an isolated free flap donor site metastasis in the first instance but subsequently progressed with bilateral pulmonary metastases. Multidisciplinary team involvement in a sarcoma specialist centre is essential and collaboration between the pathologist, radiologist, head and neck surgeon, orthopaedic surgeon, radiation oncologist and medical oncologist were integral in providing optimal management in this patient. Furthermore, this case report highlights this phenomenon of implantation metastasis in a patient with rhabdomyosarcoma, and emphasises the importance of surgical barriers between the resection and reconstruction teams in an oncological case.

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Section: Discussionmentioning

confidence: 99%

Left cheek sclerosing rhabdomyosarcoma and development of isolated free flap donor site metastasis

et al. 2022

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“…It has the advantages of ease of elevation, ease of positioning, and vascular reliability [10]. Because we had incorporated cases of malignancy in our study, we did not want to risk an iatrogenic implantation of soft tissue sarcoma [11]. To the best of our knowledge, the presented data constitute the largest series on outcome of anterolateral flap used to reconstruct different soft tissue defects in bone tumors and soft tissue tumors.…”

Section: Discussionmentioning

confidence: 99%

Use of Free Anterolateral Thigh Flap in Reconstruction of Soft Tissue Defects in Orthopedic Oncology: What are the Outcomes?

Sahijwani¹,

Salunke

Warikoo

et al. 2020

IJOO

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Introduction Soft tissue defects due to trauma with crush injuries and post-tumor excision are large in size. Free anterolateral flap provides a stable and durable coverage of soft tissue defects and leads to good functional outcomes. Materials and Methods Between January 2017 and January 2019, eight males and six female patients with soft tissue defects were operated upon using a free anterolateral thigh flaps. The defects in ten patients were due to post-tumor extirpation and in four patients due to wound breakdown following post-tumor extirpation. ResultsThe average flap dimension was 14 cm × 12 cm. The mean follow-up was 11 months (4-28 months). All the flaps survived well except in one patient who with an upper limb defect, had flap necrosis owing to which patient needed to undergo abdominal flap coverage. Two patients with sarcoma developed local recurrence and had to undergo above-knee amputation. ConclusionThe method of reconstruction depends on the size of defect and area to be covered and need of post-surgery mobilization and need for radiotherapy. The free anterolateral thigh flap has varied uses in orthopedics with very good extent of coverage and provides very potent coverage of neurovascular structures, bones, tendons, and implants.

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“…If there is a history of bone harvesting surgery, it is mandatory to clinically examine that area and do a screening plain radiograph to rule out disease due to "implantation seeding". 8…”

Section: Preoperative Planningmentioning

confidence: 99%

Operative technique of distal radius resection and wrist fusion with iliac crest bone graft

Gulia

Prajapati

Gupta

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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Malignant lesions of distal radius and appropriately selected cases of benign aggressive lesions (giant cell tumor) of distal radius require resection for limb salvage. Post resection, reconstruction of that defect can be accomplished by either arthrodesis or arthroplasty both having their own pros and cons. In cases undergoing arthrodesis as modality of reconstruction, small defects (6 cm) can be reconstructed using autologous iliac crest bone graft which results in good cosmetic appearance and functional outcome. We have described in detail, the preoperative planning, surgical steps and rehabilitation of wrist fusion with iliac crest bone grafting post distal radius resection.

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Iatrogenic implantation of soft tissue sarcoma at skin graft donor site: Delayed manifestation of an avoidable complication

Cited by 6 publications

References 9 publications

Left cheek sclerosing rhabdomyosarcoma and development of isolated free flap donor site metastasis

Left cheek sclerosing rhabdomyosarcoma and development of isolated free flap donor site metastasis

Use of Free Anterolateral Thigh Flap in Reconstruction of Soft Tissue Defects in Orthopedic Oncology: What are the Outcomes?

Operative technique of distal radius resection and wrist fusion with iliac crest bone graft

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