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Radikale Skapulektomie mit Musculus-trapezius-Transfer bei Weichteilsarkom des Schultergürtels

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Zusammenfassung

Die onkologische Behandlung von Weichgewebssarkomen hat primär die kurative Resektion in sano zum Ziel. Bei Weichteilsarkomen des Schultergürtels sind extremitätenerhaltende Operationen wie Skapulektomie mit Exzision weit im Gesunden die Therapie der Wahl. Wir stellen einen 78-jährigen Patienten mit einem Fibrosarkom im Bereich der linken Skapula vor. Trotz des hohen Alters und des damit verbundenen Operationsrisikos wurde bei dem Patienten eine radikale Skapulektomie mit intraoperativer Radiatio und anschließender funktioneller Rekonstruktion des Schultergürtels durch einen myokutanen Musculus-trapezius-Transpositionslappen und Defektverschluss durch zwei laterale Dehnungslappen mit gutem funktionellen und ästhetischen Ergebnis durchgeführt.

Abstract

In soft-tissue sarcoma, wide tumour excision (R0) has become the most important factor in local tumour control. Nowadays, radical scapulectomy with limb salvage is the treatment of choice for soft-tissue sarcomas of the shoulder girdle. We present the case of a 78-year-old man with extended low-grade fibrosarcoma of the left shoulder girdle. Despite his age, radical scapulectomy with intraoperative radiation and functional reconstruction of the shoulder girdle with a myocutaneous trapezius flap was performed. Good functional and aesthetic results could be obtained.

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Authors and Affiliations

  1. Klinik für Plastische Chirurgie, Hand- und Verbrennungschirurgie, Universitätsklinikum Aachen

    F. Lichtenegger, D. Ulrich, E.-M. Noah & N. Pallua

  2. Klinik für Orthopädie, Universitätsklinikum Aachen

    M. Weber

  3. Klinik für Plastische Chirurgie, Hand- und Verbrennungschirurgie, Universitätsklinikum Aachen, Pauwelsstraße 30, 52056 , Aachen

    F. Lichtenegger

Authors
  1. F. Lichtenegger
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  2. D. Ulrich
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  3. M. Weber
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  4. E.-M. Noah
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  5. N. Pallua
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Correspondence to F. Lichtenegger.

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F. Lichtenegger und D. Ulrich haben Erstautorenschaft

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Lichtenegger, F., Ulrich, D., Weber, M. et al. Radikale Skapulektomie mit Musculus-trapezius-Transfer bei Weichteilsarkom des Schultergürtels. Chirurg 74, 1074–1077 (2003). https://doi.org/10.1007/s00104-003-0720-9

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  • DOI: https://doi.org/10.1007/s00104-003-0720-9

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