One-step lower leg reconstruction with vascularized functional vastus lateralis muscle flap in the treatment of embryonal rhabdomyosarcoma for a six-month-old boy : A case report

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dc.contributor.authorOzols, Dzintars
dc.contributor.authorBerezovska, Marisa Maija
dc.contributor.authorKrasts, Janis
dc.contributor.authorGrutupa, Marika
dc.contributor.authorPetersons, Aigars
dc.contributor.institutionDepartment of Paediatric Surgery
dc.date.accessioned2021-09-07T11:05:01Z
dc.date.available2021-09-07T11:05:01Z
dc.date.issued2020
dc.descriptionPublisher Copyright: © 2020 by the authors. Licensee MDPI, Basel, Switzerland. Copyright: Copyright 2020 Elsevier B.V., All rights reserved.
dc.description.abstractRhabdomyosarcoma (RMS) is a common soft tissue sarcoma in childhood, however, it is very rare in the neonatal period (0.4–2% of cases). This case depicts a boy, who presented with RMS at two weeks of age, but officially diagnosed at the age of three months. MRI and scintigraphy determined a soft tissue tumor in the soleus muscle, while biopsy confirmed embryonal RMS with high mitotic activity (Ki67 (monoclonal antibodies) ~80%). CWS (Cooperative Weichteilsarkom Studiengruppe)-2012 with I2VA (ifosfamide, vincristine, actinomycin) chemotherapy regimen was administered per protocol. Surgical treatment was performed at age of six months and 18 days. The operation consisted of radical tumor resection and total triceps surae with partial fibula resection. Immediate reconstruction of triceps muscle was accomplished using a vascularized functional musculocutaneous vastus lateralis flap. Functional outcome was measured using the Lower Extremity Functional Scale (LEFS) and the Foot and Ankle Outcome Score (FAOS) with the results of 92.5% and 99% respectively.en
dc.description.statusPeer reviewed
dc.format.extent7
dc.format.extent3097244
dc.identifier.citationOzols, D, Berezovska, M M, Krasts, J, Grutupa, M & Petersons, A 2020, 'One-step lower leg reconstruction with vascularized functional vastus lateralis muscle flap in the treatment of embryonal rhabdomyosarcoma for a six-month-old boy : A case report', Medicina (Lithuania), vol. 56, no. 7, 362, pp. 1-7. https://doi.org/10.3390/medicina56070362
dc.identifier.doi10.3390/medicina56070362
dc.identifier.issn1010-660X
dc.identifier.otherunpaywall: 10.3390/medicina56070362
dc.identifier.urihttps://dspace.rsu.lv/jspui/handle/123456789/6219
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85088681840&partnerID=8YFLogxK
dc.language.isoeng
dc.relation.ispartofMedicina (Lithuania)
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectEmbryonal rhabdomyosarcoma
dc.subjectFunctional vastus transplantation
dc.subjectInfant microsurgery
dc.subject3.2 Clinical medicine
dc.subject1.1. Scientific article indexed in Web of Science and/or Scopus database
dc.subjectGeneral Medicine
dc.titleOne-step lower leg reconstruction with vascularized functional vastus lateralis muscle flap in the treatment of embryonal rhabdomyosarcoma for a six-month-old boy : A case reporten
dc.type/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article

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