Abstract
We analysed 55 patients who underwent perineal reconstruction after malignant tumor resection in the department of plastic and reconstructive surgery in the Tokushima University Hospital. This group comprised 19 male and 36 female patients. There were 18 patients with squamous cell carcinoma, 25 with extramammary Paget's disease, 2 with malignant melanoma, 1 with basal cell carcinoma and 9 with other tumors. The defects were reconstructed with skin graft in 12 cases and with flap transplantation in 43 cases. The transplanted flaps consisted of gluteal fold flap (internal pudendal artery perforator flap) in 31 cases, rectus abdominis flap (musculocutaneous flap) in 6, gluteus maximus muscle (perforator) flap in 3, and scrotum flap in 3. We had no recurrent case, and only one case who underwent flap revison.[Skin Cancer (Japan) 2009 ; 24 : 423-426]
