Reconstruction of surgical defects following Cancer surgery

Abstract

Introduction: The most common tumours in the skin are the SCC, BCC and malignant melanoma. Most of the tumours are excised with wide margins. Surgery remains the treatment of choice and adjuvant treatment is recommended in high-risk patients. Aim: The present is designed to study the different cancers of the skin, head and neck, oral cavity and breast, their reconstructive procedures for the surgical defects. Materials and methods: This prospective study includes patients with malignant skin tumours involving extremities, trunk, head and neck, face , carcinoma of breast and oral cancer who are diagnosed and treatment were studied and analyzed . For skin tumours, over 2 year period 14 patients were followed up in the present study Results: . Majority are in between 50-60 years. Most of the cases were amenable to surgery as primary modality of treatment. Peak incidence is noted in between 50-70 years with mean age 68.3, most common site being the head and neck (35.7%). Basal cell carcinoma is most common tumour in skin tumours. In breast cancer age group 41-50 years are most common group effected in study , Invasive ductal carcinoma is histological finding seen more in study. Majority of the patients 76% (16 out of 21),
have expressed excellent to good results following oncoplastic breast surgery.Majority of the patients 88% (16 out of 21), have expressed excellent to good results following oncoplastic breast surgery. None of the patients had local recurrence. In oral cancers 61-70 years is the most common age group in the study. Out of 15 cases, maximum no of reconstructions were done with pectoralis major myocutaneous flap+delto pectoral flap (PMMC+DP). In 12 patients, while 2 of the cases underwent simple closure, while 1 Case was allowed to heal by secondary intention Out of the 15 cases in the study, necrosis occurred in only 2(6.7%) of the PMMC+DP flaps, while infection and orocutaneous fistula were not Observed. Conclusion: The reconstructive procedures adopted in this study resulted in cosmetically acceptable results with very low recurrence rate.