PMC6389240_01
Patient 1. (A) Clinical aspect of the residual lesion of dermatofibrosarcoma protuberans of the vulva before the surgery. (B) One year after the first surgery, a skin expander was placed. (C) The expander was taken out and the inferior 2/3 of the flap was split. (D) the distal portion was incised horizontally on both sides and folded after, in order to reconstruct the labius majoras. (E) Follow up after 8 weeks.
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Fig1
She presented to us with a 5.0-cm lesion in the mons pubis (Figure 1A). Therefore, it was possible to avoid clitoris resection.To perform the vulvar reconstruction, a skin expander was placed in the inferior part of the abdominal wall one year after vulvectomy (Figure 1B). The distal portion was incised horizontally on both sides and folded after, in order to reconstruct the labius majoras (Figure 1C and D).This patient has been followed for almost 40 months (Figure 1E).
Patient 2: final clinical aspect of the second surgery when primary closure was performed twice.
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Fig2
The patient was submitted to another WLE of 2.0 cm and subsequent primary closure could be performed once more (Figure 2A).