• Maria Eliza Nedu, Ileana Rodica Matei, and Alexandru Valentin Georgescu.
• Department of Plastic Surgery, University of Medicine and Pharmacy "IuliuHatieganu", Cluj-Napoca, Romania; Department of Plastic Surgery Spitalul Clinic de Recuperare, Rehabilitation Clinical Hospital Cluj-Napoca, Str. Viilor 46-50, Cluj Napoca 400347, Romania.
• Injury. 2019 Dec 1; 50 Suppl 5: S21-S24.

IntroductionDermatofibrosarcoma protuberans (DFSP) is a relatively rare malignant tumor, with important local aggressiveness.Case ReportWe present a case of a 59-years-old man with a history of Psoriasis and viral hepatitis C presented in our department with a giant lesion on the posterior trunk, of 24/36 cm, with pus and local bleeding, causing important anemia. The tumor was excised, creating an elliptical defect of around 34 × 42 cm down to fascial level, which was covered by two lateral flaps - modified Keystone type III.ResultsThe flaps were completely viable and integrated with small dehiscence, which were assisted to heal secondarily.ConclusionOur paper presents a reliable alternative to skin grafting for a very large defect on the posterior trunk, the modified type III keystone flap, to our knowledge, for the first time presented for such a wide defect and on adult.Copyright © 2019. Published by Elsevier Ltd.

19 keywords...

hide…