Soft tissue sarcoma and ALT Flap

pre op tumor 
                                             
pre op tumor

post op day 5 well settled flap and brachytherapy catheter visible

28 year old female who have developed soft tissue sarcoma thigh which was duly excised and adjuvant treatment given, after  12 months the patient developed recurrence .  She was again thoroughly investigated and found have extensive tumour recurrence , oncosurgeon along radiation oncology team drew up plans for treatment. Plan was to excise the tumour with immediate microsurgical reconstruction. Brachetherapy catheter were to be put during surgery to be utilised after surgery.

 Surgery was done and tumour was throughly excised and immediate reconstruction with ALT flap was done. Post op was uneventful and patient was discharged after 10 days . After one month of surgery brachytherapy was done .

Microvascular reconstructive surgery is boon for such tumours immediate reconstruction after extensive resection is possible. Brachytherapy is given once flap is settled to give boost tumour bed.





Dr Adhishwar Sharma
MB,BS, MS General Surgery PGIMER Chd
Mch Plastic Surgery
Fellowship in hand and microvascular surgery
brahmanandclinic.com
8860650846 , adhishwar7@gmail.com






















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