CASE 17: Arm Angiosarcoma
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A biopsy of widespread lesions in the arm of a patient with a long history of lymphedema following mastectomy and axillary lymph node dissection for breast cancer revealed soft tissue sarcoma.AngiosarkomFollowing the dislocation, a scapulothoracic disarticulation surgery was performed, and the resulting gap was closed with a rotational flap and skin graft.
Preoperative: MRI shows an irregular, heterogeneous soft tissue mass located in the skin and subcutaneous tissue.

During the operation: Tumor tissue that has spread throughout the entire arm is visible.

During the operation: Incision planning and exposure of the brachial plexus/axillary artery-vein structures are shown.

During the operation: The gap created after amputation and rotational flap planning are shown.

Postoperative: The image shows the wound closure with flap and skin graft and the amputation.


