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Arch Hand Microsurg > Volume 24(3); 2019 > Article
Archives of Hand and Microsurgery 2019;24(3):267-272.
Published online September 1, 2019.
Treatment of Cutaneous Leiomyosarcoma on the Cheek with Superficial Circumflex Iliac Artery Perforator Fasciocutaneous Free Flap: A Case Report
Woo Taik Hong, Yoon Kyu Chung
Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea.
Received: 13 May 2019   • Revised: 31 July 2019   • Accepted: 6 August 2019
Cutaneous leiomyosarcoma (CLM) is a rare soft tissue sarcoma derived from the dermis or subcutaneous portion of the skin. Recently, a young male patient presented with a very rare case of CLM. This patient was 33 years old and a smoker with no specific medical or trauma history. During the clinical examination, a 1.6×0.8×1.7 cm sized, oval shape, hard, fixed, and non-tender mass on the right cheek was noted. He underwent a simple excision at first and pathology reported CLM of grade 1. We performed a muscle depth wide excision again with a 1 cm margin for the superior medial side and a 2 cm margin for the inferior lateral side. Lesion coverage was ensured by a superficial circumflex iliac artery perforator fasciocutaneous free flap after confirming the free margin sections.
Key Words: Leiomyosarcoma, Micro surgical free flaps

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