CASE 85: Malignant Peripheral Nerve Sheath Tumor Located in the Leg
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A patient presented with swelling and a wound in the leg (cruris) region. Clinical examination and radiological investigations revealed a soft tissue tumor. Needle biopsy confirmed a diagnosis of soft tissue sarcoma (Malignant Peripheral Nerve Sheath Tumor). Since no metastases were detected in subsequent scans, and due to the open wound, the tumor was removed with wide resection and clean margins. The resulting space was reconstructed with an island flap. Following wound healing, the patient was referred to radiation oncology.
Preoperative: MRI shows an irregularly bordered, heterogeneous soft tissue mass in the mid-crus region, resting on the tibia.

During Surgery: The clinical appearance of the tumor before removal and the resulting cavity after removal are shown.

Surgical Procedure: The clinical image shows the tumor removed along with the skin covering it.

During the operation: The image shows the reconstruction of the cavity created after tumor removal using a local island flap and skin graft.


