Rare syringoid eccrine carcinoma of the upper lip and nasal
base treated with resection and subsequent innovative
reconstruction using an Abbe flap, turbinate flaps and
three-stage forehead flap: a case report

J 2022

Rare syringoid eccrine carcinoma of the upper lip and nasal base treated with resection and subsequent innovative reconstruction using an Abbe flap, turbinate flaps and three-stage forehead flap: a case report

DVOŘÁK, Zdeněk, Richard PINK, Petr HEINZ, Jaroslav MICHALEK, Petr KRSIČKA et. al.

Basic information

Original name

Rare syringoid eccrine carcinoma of the upper lip and nasal base treated with resection and subsequent innovative reconstruction using an Abbe flap, turbinate flaps and three-stage forehead flap: a case report

Authors

DVOŘÁK, Zdeněk (203 Czech Republic, belonging to the institution), Richard PINK (203 Czech Republic), Petr HEINZ (203 Czech Republic), Jaroslav MICHALEK (203 Czech Republic) and Petr KRSIČKA (203 Czech Republic, belonging to the institution)

Edition

World Journal of Surgical Oncology, London, BioMed Central, 2022, 1477-7819

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30212 Surgery

Country of publisher

United Kingdom of Great Britain and Northern Ireland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

URL

Impact factor

Impact factor: 3.200

RIV identification code

RIV/00216224:14110/22:00128482

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1186/s12957-022-02754-4

UT WoS

000852400100001

Keywords in English

Syringoid eccrine carcinoma; Head and neck malignancy; Nasal reconstruction; Turbinate flap; Functional endonasal surgery

Abstract

V originále

Background Although syringoma is a common benign tumour of the sudoriferous gland, there is also an extremely rare malignant form known as syringoid eccrine carcinoma (SEC). SEC usually exhibits slow growth with deep invasion and a frequent tendency to relapse. The treatment of choice is radical wide resection, which poses a difficult reconstructive problem, especially when the tumour is located in the centre of the face. Case presentation In this case, a 70-year-old man was diagnosed with an SEC at the same location as a benign syringoma of the upper lip and nasal base that had undergone primary excision 7 years prior. Primary radical resection was performed with immediate Abbe flap reconstruction. Nevertheless, histology revealed positive margins, and 3 additional re-excisions were needed to achieve clear margins. Four months after the initial resection, the patient had undergone an innovative reconstruction technique including not only the Abbe flap but also a turbinate flap harvested with functional endonasal surgery and a three-stage forehead flap. Conclusion To the best of our knowledge, this is the first case report of a suspect malignant transformation of a benign syringoma after 7 years. In addition, from oncoplastic and reconstructive points of view, the bilateral use of the turbinate flap for reconstructing the intranasal lining of the alar base is unusual, and the use of functional endonasal surgery in nasal reconstruction for reducing the risk of damaging the vascular supply of the flap is innovative.

Citovat

DVOŘÁK, Zdeněk, Richard PINK, Petr HEINZ, Jaroslav MICHALEK and Petr KRSIČKA. Rare syringoid eccrine carcinoma of the upper lip and nasal base treated with resection and subsequent innovative reconstruction using an Abbe flap, turbinate flaps and three-stage forehead flap: a case report. World Journal of Surgical Oncology. London: BioMed Central, 2022, vol. 20, No 1, p. 1-7. ISSN 1477-7819. Available from: https://dx.doi.org/10.1186/s12957-022-02754-4.

@article{2251944,
   author = {Dvořák, Zdeněk and Pink, Richard and Heinz, Petr and Michalek, Jaroslav and Krsička, Petr},
   article_location = {London},
   article_number = {1},
   doi = {http://dx.doi.org/10.1186/s12957-022-02754-4},
   keywords = {Syringoid eccrine carcinoma; Head and neck malignancy; Nasal reconstruction; Turbinate flap; Functional endonasal surgery},
   language = {eng},
   issn = {1477-7819},
   journal = {World Journal of Surgical Oncology},
   title = {Rare syringoid eccrine carcinoma of the upper lip and nasal base treated with resection and subsequent innovative reconstruction using an Abbe flap, turbinate flaps and three-stage forehead flap: a case report},
   url = {https://wjso.biomedcentral.com/articles/10.1186/s12957-022-02754-4},
   volume = {20},
   year = {2022}
}

TY  - JOUR
ID  - 2251944
AU  - Dvořák, Zdeněk - Pink, Richard - Heinz, Petr - Michalek, Jaroslav - Krsička, Petr
PY  - 2022
TI  - Rare syringoid eccrine carcinoma of the upper lip and nasal base treated with resection and subsequent innovative reconstruction using an Abbe flap, turbinate flaps and three-stage forehead flap: a case report
JF  - World Journal of Surgical Oncology
VL  - 20
IS  - 1
SP  - 1-7
EP  - 1-7
PB  - BioMed Central
SN  - 14777819
KW  - Syringoid eccrine carcinoma
KW  - Head and neck malignancy
KW  - Nasal reconstruction
KW  - Turbinate flap
KW  - Functional endonasal surgery
UR  - https://wjso.biomedcentral.com/articles/10.1186/s12957-022-02754-4
N2  - Background Although syringoma is a common benign tumour of the sudoriferous gland, there is also an extremely rare malignant form known as syringoid eccrine carcinoma (SEC). SEC usually exhibits slow growth with deep invasion and a frequent tendency to relapse. The treatment of choice is radical wide resection, which poses a difficult reconstructive problem, especially when the tumour is located in the centre of the face. Case presentation In this case, a 70-year-old man was diagnosed with an SEC at the same location as a benign syringoma of the upper lip and nasal base that had undergone primary excision 7 years prior. Primary radical resection was performed with immediate Abbe flap reconstruction. Nevertheless, histology revealed positive margins, and 3 additional re-excisions were needed to achieve clear margins. Four months after the initial resection, the patient had undergone an innovative reconstruction technique including not only the Abbe flap but also a turbinate flap harvested with functional endonasal surgery and a three-stage forehead flap. Conclusion To the best of our knowledge, this is the first case report of a suspect malignant transformation of a benign syringoma after 7 years. In addition, from oncoplastic and reconstructive points of view, the bilateral use of the turbinate flap for reconstructing the intranasal lining of the alar base is unusual, and the use of functional endonasal surgery in nasal reconstruction for reducing the risk of damaging the vascular supply of the flap is innovative.
ER  -

DVOŘÁK, Zdeněk, Richard PINK, Petr HEINZ, Jaroslav MICHALEK and Petr KRSIČKA. Rare syringoid eccrine carcinoma of the upper lip and nasal base treated with resection and subsequent innovative reconstruction using an Abbe flap, turbinate flaps and three-stage forehead flap: a case report. \textit{World Journal of Surgical Oncology}. London: BioMed Central, 2022, vol.~20, No~1, p.~1-7. ISSN~1477-7819. Available from: https://dx.doi.org/10.1186/s12957-022-02754-4.

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