a novel surgical approach to lipomatous tumours of the deltoid region一种新的手术方法三角肌的脂肪瘤的肿瘤区域.pdfVIP

Hindawi Publishing Corporation Sarcoma Volume 2010, Article ID 495834, 4 pages doi:10.1155/2010/495834 Research Article A Novel Surgical Approach to Lipomatous Tumours of the Deltoid Region Emad Al Absi, Tamanna Karim, Nigel Colterjohn, and Michelle Ghert Department of Surgery, McMaster University and Hamilton Health Sciences, Juravinski Cancer Center, Hamilton, Ontario, Canada L8V 5C2 Correspondence should be addressed to Michelle Ghert, michelle.ghert@jcc.hhsc.ca Received 15 April 2009; Accepted 25 January 2010 Academic Editor: Michael Leahy Copyright © 2010 Emad Al Absi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Resection of large lipomatous tumours in the subdeltoid region remains technically challenging due to the risk of injury to the axillary neurovascular bundle. We describe a novel deltoid release and reinsertion technique for resection of large lipomatous tumours of the sub-deltoid region and report the functional and oncologic outcomes of six patients who underwent this procedure. Three cases were diagnosed histologically as atypical lipoma and three cases were diagnosed as lipoma. There was one local recurrence in a case of an atypical lipoma. Rotator cuff function was comparable to that of the contralateral side in all cases and the average Constant Score adopted by the European Shoulder and Elbow Society was 84 (range 81 to 92) out of 100. We conclude that patients with large sub-deltoid lipomatous tumours who undergo resection through a previously undescribed deltoid release and reinsertion technique have excellent functional outcome with a low risk for recurrence.