PMC6232581_01
Tumor - Biopsy-proven invasive squamous cell carcinoma of the right popliteal fossa measuring 3.9 x 3.7 cm.
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An 88-year-old woman presented with a biopsy-proven invasive squamous cell carcinoma of the right popliteal fossa (Fig. 1).
Defect - 4.5 x 4.3 cm final Mohs defect after extirpation of invasive squamous cell carcinoma on the right popliteal fossa.
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The tumor was cleared after one stage of Mohs micrographic surgery with a final surgical defect measuring 4.5 x 4.3 cm (Fig. 2).
Repair - Combination lateral-based bilobed flap and porcine xenograft repair of post-extirpation defect after Mohs of invasive squamous cell carcinoma on the right popliteal fossa - as seen immediately after reconstruction.
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The remainder of the defect from the transposition of the primary lobe was repaired with a porcine xenograft (Fig. 3).
3-month follow-up - Appearance of combination lateral-based bilobed flap and porcine xenograft repair of the right popliteal fossa - as seen at 3-month follow-up.
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At 3-month follow-up, the patient had excellent cosmetic and functional results (Fig. 4).