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Metastatic spread of floor of the mouth squamous cell carcinoma via pectoralis major myocutaneous flap

✍ Scribed by Prof. F. Badellino; P. Berrino; E. Campora; G. Canavese; A. Galli; G. Margarino; M. Scala; P. L. Santi


Publisher
John Wiley and Sons
Year
1988
Tongue
English
Weight
376 KB
Volume
38
Category
Article
ISSN
0022-4790

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✦ Synopsis


In a patient with recurrent head and neck squamous cell carcinoma, reconstruction of the floor of the mouth was carried out by transposition of a pectoralis major myocutaneous flap after composite resection. Twelve months after surgery, a chest wall metastasis corresponding to the site of the vascular pedicle was observed. It appears that the lymphatic and hematogenous tumor spread can occur along the vascular pathways of a transposed myocutaneous flap.