PMC6113985_01
Pre-operative appearance:4 x 5-cm firm reddish-pink nodule, fixed with the overlying skin and mobile in all directions, 2-cm lateral to the right nipple-areola complex extending up to the anterior axillary lin.
can-12-858fig1.jpg
PMC6113985_01_can-12-858fig1.jpg
figure1
On examination, a 4 x 5-cm firm reddish-pink nodule, fixed with the overlying skin and restricted mobility, was present 2-cm lateral to the right nipple-areola complex extending up to the anterior axillary line (Figure 1).
Intra-operative view of defect after WLE and marking for LD flap.
can-12-858fig2.jpg
PMC6113985_01_can-12-858fig2.jpg
figure2
The LD flap was raised and placed over the defect (Figures 2 and 3).
Reconstruction with myocutaneous LD flap after WLE of the tumour. Intra-operative view (top). Post-operative view (bottom).
can-12-858fig3.jpg
PMC6113985_01_can-12-858fig3.jpg
figure3
The LD flap was raised and placed over the defect (Figures 2 and 3).
Donor site covered with split skin graft from right thigh.
can-12-858fig4.jpg
PMC6113985_01_can-12-858fig4.jpg
figure4
The donor site was covered with a skin graft from the right thigh (Figure 4).
Histopathology of the specimen showed spindle cell tumour with myxoid changes and areas of necrosis and low mitotic count (1-2/hpf):diagnostic of DFSP.
can-12-858fig5.jpg
PMC6113985_01_can-12-858fig5.jpg
figure5
Histopathology of the tumour showed a spindle cell tumour with myxoid changes and areas of necrosis and low mitotic count (1-2/hpf) (Figure 5).