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皮瓣供給部位之惡性腫瘤植入-病例報告

Implantation of Cancer to Flap Donor Site-A Case Report

摘要


腫瘤細胞植入為一罕見發生之情形,但其確實存在。腫瘤切除後立即性的皮瓣重建在現今已是腫瘤手術的主流,但因此也潛在有於皮瓣供應區發生腫瘤細胞散播進而生長的危險性。本報告提出本科一病例,於下顎牙齦癌切除後立即進行大腿前側游離皮瓣之重建,於術後出現皮瓣供應區腫瘤細胞散播之病例,並回顧文獻,探討其發生機制,以及如何於手術時預防其發生。

並列摘要


The implantation of cancer cell is uncommon but well recognized complication. Immediate flap reconstruction after tumor resection now is the main treatment method for head and neck cancer surgery, but the risk of dissemination of cancer cell to flap donor site existed. We presented a case of L't lower gingival SCC, received immediate free anterior lateral thigh flap reconstruction after tumor wide excision, then dissemination of cancer to flap donor site was noted. This reviewed article discussed the etiology and how to prevent it during surgery.

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