Arch Hand Microsurg 2019; 24(3): 267-272  
Treatment of Cutaneous Leiomyosarcoma on the Cheek with Superficial Circumflex Iliac Artery Perforator Fasciocutaneous Free Flap: A Case Report
Woo Taik Hong, Yoon Kyu Chung
Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, Wonju, Korea
Correspondence to: Yoon Kyu Chung
Department of Plastic and Reconstructive Surgery, Wonju Severance Christian Hospital, Yonsei University Wonju College of Medicine, 20 Ilsanro, Wonju 26426, Korea
TEL: +82-33-741-0611, FAX: +82-33-732-4022, E-mail: ykchung@yonsei.ac.kr, ORCID: https://orcid.org/0000-0002-0401-3912
Received: May 13, 2019; Revised: July 31, 2019; Accepted: August 6, 2019; Published online: September 1, 2019.
© Korean Society for Surgery of the Hand, Korean Society for Microsurgery, and Korean Society for Surgery of the Peripheral Nerve. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Cutaneous leiomyosarcoma (CLM) is a rare soft tissue sarcoma derived from the dermis or subcutaneous portion of the skin. Recently, a young male patient presented with a very rare case of CLM. This patient was 33 years old and a smoker with no specific medical or trauma history. During the clinical examination, a 1.6×0.8×1.7 cm sized, oval shape, hard, fixed, and non-tender mass on the right cheek was noted. He underwent a simple excision at first and pathology reported CLM of grade 1. We performed a muscle depth wide excision again with a 1 cm margin for the superior medial side and a 2 cm margin for the inferior lateral side. Lesion coverage was ensured by a superficial circumflex iliac artery perforator fasciocutaneous free flap after confirming the free margin sections.
Keywords: Leiomyosarcoma, Micro surgical free flaps


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