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Handchir Mikrochir Plast Chir 2012; 44(03): 171-174
DOI: 10.1055/s-0032-1312623
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© Georg Thieme Verlag KG Stuttgart · New York

Adult Fibrosarcoma of the Wrist: A Case Report

Fibrosarkom des Erwachsenen am Handgelenk: Ein Fallbericht
A. Zyluk
1   Department of General and Hand Surgery, Pomeranian Medical University, Szczecin, Poland
,
I. Walaszek
1   Department of General and Hand Surgery, Pomeranian Medical University, Szczecin, Poland
,
J. Grabarek
2   Department of Pathology, Pomeranian Medical University, Szczecin, Poland
› Author Affiliations
Further Information

Publication History

received09 February 2012

accepted 24 April 2012

Publication Date:
11 June 2012 (online)

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Abstract

Adult fibrosarcoma is a rare malignant soft-tissue neoplasm occurring in middle-aged to elderly adults. We present a case of recurrent tumor involving the wrist, which was treated by wide excision including resection of the scaphoid and radio-lunate fusion, followed by coverage of soft tissue defect with a free flap. Despite macro- and microscopic adequate tumor resection, recurrence of the neoplasm occurred at 6 months and eventually amputation of the forearm was performed.

Zusammenfassung

Fibrosarkome sind seltene maligne Weichteilgeschwülste mit bevorzugtem Auftreten bei mittelalten und älteren Patienten. Wir berichten über ein Rezidiv eines Fibrosarkoms des Handgelenkes, welches durch weite Exzision einschließlich des Kahnbeines und Fusionierung von Radius und Lunatum behandelt wurde mit Defektdeckung durch eine freie Lappenplastik. Trotz makro- und mikroskopisch adäquater Tumorresektion kam es nach 6 Monaten zu einem erneuten Rezidiv, so dass schließlich die Amputation der Hand erfolgte.

Key word

adult fibrosacroma

Schlüsselwort

Fibrosarkom des Erwachsenen
 

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