A wide, hemorrhagic lesion occurred on the face and scalp of a 75-year-old woman who had no history of previous trauma to the region. Histology showed features consistent with a diagnosis of angiosarcoma. Clinical and radiologic investigations failed to show any sign of internal involvement. The lesion completely regressed without any therapy within a few months from onset, and the patient is alive and free of disease 36 months after the first observation. Repeated clinicoradiologic investigations failed again to prove visceral diffusion of the tumor. Spontaneous regression of an angiosarcoma is an exceptional event, and only one similar case has been reported in the literature.
{"title":"Angiosarcoma of the face and scalp. A case report with complete spontaneous regression.","authors":"L Cerroni, K Peris, A Legge, S Chimenti","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A wide, hemorrhagic lesion occurred on the face and scalp of a 75-year-old woman who had no history of previous trauma to the region. Histology showed features consistent with a diagnosis of angiosarcoma. Clinical and radiologic investigations failed to show any sign of internal involvement. The lesion completely regressed without any therapy within a few months from onset, and the patient is alive and free of disease 36 months after the first observation. Repeated clinicoradiologic investigations failed again to prove visceral diffusion of the tumor. Spontaneous regression of an angiosarcoma is an exceptional event, and only one similar case has been reported in the literature.</p>","PeriodicalId":22634,"journal":{"name":"The Journal of dermatologic surgery and oncology","volume":"17 6","pages":"539-42"},"PeriodicalIF":0.0,"publicationDate":"1991-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13197219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bonfire of the wrinkles.","authors":"A W Klein","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":22634,"journal":{"name":"The Journal of dermatologic surgery and oncology","volume":"17 6","pages":"543-4"},"PeriodicalIF":0.0,"publicationDate":"1991-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13197220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1991-02-01DOI: 10.1111/j.1524-4725.1991.tb01611.x
R L Moy, M B Quan
In a 71 year old white female a clinically diagnosed keratoacanthoma on the dorsum of the right third finger was removed using Mohs micrographic surgery and histologically diagnosed as a squamous cell carcinoma. It was shown by dot blot hybridization to have HPV type 16 DNA in the tumor. The wound was reconstructed with a bilobed transposition flap.
{"title":"The presence of human papillomavirus type 16 in squamous cell carcinoma of the proximal finger and reconstruction with a bilobed transposition flap.","authors":"R L Moy, M B Quan","doi":"10.1111/j.1524-4725.1991.tb01611.x","DOIUrl":"https://doi.org/10.1111/j.1524-4725.1991.tb01611.x","url":null,"abstract":"<p><p>In a 71 year old white female a clinically diagnosed keratoacanthoma on the dorsum of the right third finger was removed using Mohs micrographic surgery and histologically diagnosed as a squamous cell carcinoma. It was shown by dot blot hybridization to have HPV type 16 DNA in the tumor. The wound was reconstructed with a bilobed transposition flap.</p>","PeriodicalId":22634,"journal":{"name":"The Journal of dermatologic surgery and oncology","volume":"17 2","pages":"171-5"},"PeriodicalIF":0.0,"publicationDate":"1991-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1524-4725.1991.tb01611.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13010318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1991-02-01DOI: 10.1111/j.1524-4725.1991.tb01615.x
R J Siegle
Guidelines for forehead reconstruction include maintaining or re-establishing normal boundaries, preserving nerve function, and maximizing scar camouflage. The interrelationships of anatomy, function, and principles of tissue movement which are critical to optimal reconstructive planning will be presented.
{"title":"Forehead reconstruction.","authors":"R J Siegle","doi":"10.1111/j.1524-4725.1991.tb01615.x","DOIUrl":"https://doi.org/10.1111/j.1524-4725.1991.tb01615.x","url":null,"abstract":"<p><p>Guidelines for forehead reconstruction include maintaining or re-establishing normal boundaries, preserving nerve function, and maximizing scar camouflage. The interrelationships of anatomy, function, and principles of tissue movement which are critical to optimal reconstructive planning will be presented.</p>","PeriodicalId":22634,"journal":{"name":"The Journal of dermatologic surgery and oncology","volume":"17 2","pages":"200-4"},"PeriodicalIF":0.0,"publicationDate":"1991-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1524-4725.1991.tb01615.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13158242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1991-02-01DOI: 10.1111/j.1524-4725.1991.tb01610.x
J A Khan
Defects of the anterior lamella of the lower eyelid are common following Mohs micrographic surgery. Often, such defects are repaired with free skin grafts. The author reviews the treatment of such defects utilizing a single subcilial incision to develop a sliding blepharoplasty-type flap, which is advanced medially or laterally, as needed, into the defect. Larger defects may require Putterman's modified Tenzel flap. Final lid function, position, and cosmesis were superior to the results expected from free skin grafts alone in four of the author's five cases. Indications, limitations, modifications, technical aspects, benefits and potential pitfalls of reconstructive subcilial flaps are discussed.
{"title":"Sub-cilial sliding skin-muscle flap repair of anterior lamella lower eyelid defects.","authors":"J A Khan","doi":"10.1111/j.1524-4725.1991.tb01610.x","DOIUrl":"https://doi.org/10.1111/j.1524-4725.1991.tb01610.x","url":null,"abstract":"<p><p>Defects of the anterior lamella of the lower eyelid are common following Mohs micrographic surgery. Often, such defects are repaired with free skin grafts. The author reviews the treatment of such defects utilizing a single subcilial incision to develop a sliding blepharoplasty-type flap, which is advanced medially or laterally, as needed, into the defect. Larger defects may require Putterman's modified Tenzel flap. Final lid function, position, and cosmesis were superior to the results expected from free skin grafts alone in four of the author's five cases. Indications, limitations, modifications, technical aspects, benefits and potential pitfalls of reconstructive subcilial flaps are discussed.</p>","PeriodicalId":22634,"journal":{"name":"The Journal of dermatologic surgery and oncology","volume":"17 2","pages":"167-70"},"PeriodicalIF":0.0,"publicationDate":"1991-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1524-4725.1991.tb01610.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13159697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1991-02-01DOI: 10.1111/j.1524-4725.1991.tb01612.x
J R Mellette
Functional and aesthetic reconstruction of the external ear can be simplified by a regional approach utilizing commonly known principles and techniques of surgical repair. Reconstructive options are herein offered in a step-by-step fashion.
{"title":"Ear reconstruction with local flaps.","authors":"J R Mellette","doi":"10.1111/j.1524-4725.1991.tb01612.x","DOIUrl":"https://doi.org/10.1111/j.1524-4725.1991.tb01612.x","url":null,"abstract":"<p><p>Functional and aesthetic reconstruction of the external ear can be simplified by a regional approach utilizing commonly known principles and techniques of surgical repair. Reconstructive options are herein offered in a step-by-step fashion.</p>","PeriodicalId":22634,"journal":{"name":"The Journal of dermatologic surgery and oncology","volume":"17 2","pages":"176-82"},"PeriodicalIF":0.0,"publicationDate":"1991-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1524-4725.1991.tb01612.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13159698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1991-02-01DOI: 10.1111/j.1524-4725.1991.tb01607.x
J A Zitelli, D G Brodland
Treatment of upper lip wounds by second intention, full-thickness skin grafts, and local flaps is discussed. The location, size, depth, and type of closure for each defect in 200 cases involving defects of the upper lip are reviewed. The percentages of wounds treated by each modality were 20, 6, 74% for second intention, grafts, and local flaps, respectively. Of wound treatment by local flaps, 80% used advancement flaps, 10% used transposition flaps, and 10% used island-pedicle flaps. Advancement flaps, island-pedicle flaps, possible complications, and post-operative care are reviewed.
{"title":"A regional approach to reconstruction of the upper lip.","authors":"J A Zitelli, D G Brodland","doi":"10.1111/j.1524-4725.1991.tb01607.x","DOIUrl":"https://doi.org/10.1111/j.1524-4725.1991.tb01607.x","url":null,"abstract":"<p><p>Treatment of upper lip wounds by second intention, full-thickness skin grafts, and local flaps is discussed. The location, size, depth, and type of closure for each defect in 200 cases involving defects of the upper lip are reviewed. The percentages of wounds treated by each modality were 20, 6, 74% for second intention, grafts, and local flaps, respectively. Of wound treatment by local flaps, 80% used advancement flaps, 10% used transposition flaps, and 10% used island-pedicle flaps. Advancement flaps, island-pedicle flaps, possible complications, and post-operative care are reviewed.</p>","PeriodicalId":22634,"journal":{"name":"The Journal of dermatologic surgery and oncology","volume":"17 2","pages":"143-8"},"PeriodicalIF":0.0,"publicationDate":"1991-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1524-4725.1991.tb01607.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13159694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1991-02-01DOI: 10.1111/j.1524-4725.1991.tb01605.x
L M Dzubow
{"title":"Flap dynamics.","authors":"L M Dzubow","doi":"10.1111/j.1524-4725.1991.tb01605.x","DOIUrl":"https://doi.org/10.1111/j.1524-4725.1991.tb01605.x","url":null,"abstract":"","PeriodicalId":22634,"journal":{"name":"The Journal of dermatologic surgery and oncology","volume":"17 2","pages":"116-30"},"PeriodicalIF":0.0,"publicationDate":"1991-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1524-4725.1991.tb01605.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13159692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1991-02-01DOI: 10.1111/j.1524-4725.1991.tb01606.x
S J Salasche, W J Grabski
Flaps are susceptible to the same complications as side-to-side closures. However, as the blood supply to a flap is more precarious, the complication may have a more dire effect. This article catalogues the various acute complications with an emphasis on early recognition and management.
{"title":"Complications of flaps.","authors":"S J Salasche, W J Grabski","doi":"10.1111/j.1524-4725.1991.tb01606.x","DOIUrl":"https://doi.org/10.1111/j.1524-4725.1991.tb01606.x","url":null,"abstract":"<p><p>Flaps are susceptible to the same complications as side-to-side closures. However, as the blood supply to a flap is more precarious, the complication may have a more dire effect. This article catalogues the various acute complications with an emphasis on early recognition and management.</p>","PeriodicalId":22634,"journal":{"name":"The Journal of dermatologic surgery and oncology","volume":"17 2","pages":"132-40"},"PeriodicalIF":0.0,"publicationDate":"1991-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1524-4725.1991.tb01606.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13159693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1991-02-01DOI: 10.1111/j.1524-4725.1991.tb01609.x
R G Bennett
Local skin flap repairs on the cheek are discussed. Anatomic and special considerations are reviewed. Advancement, rotation, and transposition flaps are described.
讨论了面颊局部皮瓣的修复。解剖和特殊考虑的审查。介绍了推进皮瓣、旋转皮瓣和转位皮瓣。
{"title":"Local skin flaps on the cheeks.","authors":"R G Bennett","doi":"10.1111/j.1524-4725.1991.tb01609.x","DOIUrl":"https://doi.org/10.1111/j.1524-4725.1991.tb01609.x","url":null,"abstract":"<p><p>Local skin flap repairs on the cheek are discussed. Anatomic and special considerations are reviewed. Advancement, rotation, and transposition flaps are described.</p>","PeriodicalId":22634,"journal":{"name":"The Journal of dermatologic surgery and oncology","volume":"17 2","pages":"161-5"},"PeriodicalIF":0.0,"publicationDate":"1991-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1524-4725.1991.tb01609.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13159696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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