PMC2938634_01
Recurrent cytosarcoma phyllodes
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(a) Prolene mesh-methymethacrylate sandwich prosthesis, (b) Flap inset and revascularisation
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Skeletal reconstruction was performed with a Prolene mesh-methymethacrylate cement sandwich [Figure 2a], followed by immediate soft-tissue reconstruction. Extra venous drainage was facilitated by a long saphenous Vein graft for the ALT [Figure 2b].
(a) Lateral circumflex femoral system supplying the rectus femoris and vastus lateralis muscles and (b) Cadaveric specimen showing the design of the flap. Note the pedicle to the anteromedial thigh
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Postoperatively [Figure 3], the patient underwent radiotherapy.
Six months postoperatively
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She was able to ambulate with a walking aid and lived for another 1 year before she succumbed to distant metastases [Figure 4].