ANTEROLATERAL THIGH FLAP FOR METASTATIC INGUINAL NODAL MASS IN A TREATED CASE OF CARCINOMA PENIS

Abstract

Penile tumors are aggressive cancers
with the pattern of dissemination predominantly
lymphogenic.Nodal metastasis
can present years after the treatment
of the primary . Palliative resection of the
nodes with adequate flap reconstruction
in these situations improve the quality of
life and help avoid the associated complications.
A treated case of carcinoma penis
presented with delayed nodal metastasis
in the left inguinal region after a period
of four years. Wide excision of the
nodal mass and coverage of the defect
with ipsilateral anterolateral thigh flap
was performed with the help of plastic
surgeon's assistance . Neoadjuvant chemotherapy
can be utilised to shrink the
nodal mass but carries the theoretical
risk of causing femoral vessel blowout
secondarily due to necrosis of the previously
weakened vessel wall