Please use this identifier to cite or link to this item:
10.3390/medicina56070362
Title: | 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 |
Authors: | Ozols, Dzintars Berezovska, Marisa Maija Krasts, Janis Grutupa, Marika Petersons, Aigars Department of Paediatric Surgery |
Keywords: | Embryonal rhabdomyosarcoma;Functional vastus transplantation;Infant microsurgery;3.2 Clinical medicine;1.1. Scientific article indexed in Web of Science and/or Scopus database;General Medicine |
Issue Date: | 2020 |
Citation: | Ozols , 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 |
Abstract: | Rhabdomyosarcoma (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. |
Description: | Publisher Copyright: © 2020 by the authors. Licensee MDPI, Basel, Switzerland. Copyright: Copyright 2020 Elsevier B.V., All rights reserved. |
DOI: | 10.3390/medicina56070362 |
ISSN: | 1010-660X |
Appears in Collections: | Research outputs from Pure / Zinātniskās darbības rezultāti no ZDIS Pure |
Files in This Item:
File | Size | Format | |
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One_step_lower_leg_reconstruction.pdf | 3.02 MB | Adobe PDF | View/Open |
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