PDF(Pubmed)
Abstract：
OBJECTIVE: Angiosarcomas of the face are rare but present significant treatment challenges due to their origin in the supportive tissues of blood or lymphatic vessels. Achieving optimal balance between oncological efficacy and aesthetic outcomes requires a multidisciplinary approach, particularly in cases where radical R0 resection is necessary. Delays often occur, especially during histopathological examinations, which can complicate primary plastic reconstruction before definitive pathological findings.
METHODS: To address this issue, we present a case with the use of porcine-derived acellular dermal matrix for temporary soft tissue coverage as a viable option in a case of angiosarcoma of the face. This is particularly useful in situations where frozen sections risk the loss of critical anatomical structures and intraoperative diagnosis is not feasible. This approach allowed for satisfactory wound coverage and granulation during diagnostic phases, paving the way for oncologically manageable situations and functional rehabilitation.
CONCLUSIONS: Temporary soft tissue coverage with porcine-derived acellular dermal matrix is a valuable option in tumor surgery of rare and complex situations.
METHODS: To address this issue, we present a case with the use of porcine-derived acellular dermal matrix for temporary soft tissue coverage as a viable option in a case of angiosarcoma of the face. This is particularly useful in situations where frozen sections risk the loss of critical anatomical structures and intraoperative diagnosis is not feasible. This approach allowed for satisfactory wound coverage and granulation during diagnostic phases, paving the way for oncologically manageable situations and functional rehabilitation.
CONCLUSIONS: Temporary soft tissue coverage with porcine-derived acellular dermal matrix is a valuable option in tumor surgery of rare and complex situations.
摘要：
目的：面部血管肉瘤很少见，但由于其起源于血液或淋巴管的支持组织，因此存在重大的治疗挑战。实现肿瘤疗效和美学结果之间的最佳平衡需要多学科的方法，特别是在需要根治性R0切除的情况下。延误经常发生，尤其是在组织病理学检查期间，在明确的病理发现之前，这会使原发性塑料重建复杂化。
方法：要解决此问题，我们介绍了一例使用猪源脱细胞真皮基质进行临时软组织覆盖的病例,作为面部血管肉瘤的可行选择.这在冷冻切片有丧失关键解剖结构的风险且术中诊断不可行的情况下特别有用。这种方法在诊断阶段允许令人满意的伤口覆盖和肉芽形成。为肿瘤可管理的情况和功能康复铺平道路。
结论：在罕见和复杂情况的肿瘤手术中，用猪来源的脱细胞真皮基质临时覆盖软组织是一种有价值的选择。
方法：要解决此问题，我们介绍了一例使用猪源脱细胞真皮基质进行临时软组织覆盖的病例,作为面部血管肉瘤的可行选择.这在冷冻切片有丧失关键解剖结构的风险且术中诊断不可行的情况下特别有用。这种方法在诊断阶段允许令人满意的伤口覆盖和肉芽形成。为肿瘤可管理的情况和功能康复铺平道路。
结论：在罕见和复杂情况的肿瘤手术中，用猪来源的脱细胞真皮基质临时覆盖软组织是一种有价值的选择。
