Cancer UrologyCancer UrologyОнкоурология1726-97761996-1812Publishing House ABV Press188610.17650/1726-9776-2025-21-1-100-106CLINICAL NOTESКЛИНИЧЕСКИЕ СЛУЧАИExperience of the perineum defects reconstruction with the fasciocutaneous lotus petal flap after resection of anogenital skin tumorsОпыт реконструкции дефектов промежности кожно-фасциальным лоскутом «лепесток лотоса» после иссечения злокачественных опухолей кожи аногенитальной зоныhttps://orcid.org/0000-0001-7754-6624VolkovaM. I.ВолковаМ. И.
Russian Federation

Mariya Igorevna Volkova

Build. 7, 18A Zagorodnoe Shosse, Moscow 117152; Build. 1, 2/1 Barrikadnaya St., Moscow 125993

Мария Игоревна Волкова

117152 Москва, Загородное ш., 18А, стр. 7; 125993 Москва, ул. Баррикадная, 2/1, стр. 1

CherepanovaE. V.ЧерепановаЕ. В.
Russian Federation

8 Sosenskiy Stan St., Kommunarka, Moscow 108814

108814 Москва, п. Коммунарка, ул. Сосенский стан, 8

https://orcid.org/0000-0002-9015-2002GridnevaYa. V.ГридневаЯ. В.
Russian Federation

Build. 7, 18A Zagorodnoe Shosse, Moscow 117152; 8 Trubetskaya St., Moscow 119991

117152 Москва, Загородное ш., 18А, стр. 7; 119991 Москва, ул. Трубецкая, 8

https://orcid.org/0000-0002-2855-5767Al-AkelI. S.Аль-АкелИ. С.
Russian Federation

Build. 7, 18A Zagorodnoe Shosse, Moscow 117152

117152 Москва, Загородное ш., 18А, стр. 7

alakelibrahim1@gmail.comOncology Center No. 1, Moscow City Hospital named after S.S. Yudin, Moscow Healthcare DepartmentОнкологический центр № 1 ГБУЗ г. Москвы «Городская клиническая больница им. С.С. Юдина Департамента здравоохранения г. Москвы»Russian Medical Academy of Continuing Professional Education, Ministry of Health of RussiaФГБОУ ДПО «Российская медицинская академия непрерывного профессионального образования» Минздрава РоссииMoscow Multidisciplinary Clinical Center “Kommunarka”, Moscow Healthcare DepartmentГБУЗ г. Москвы «Московский многопрофильный клинический центр «Коммунарка» Департамента здравоохранения г. Москвы»I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University)ФГАОУ ВО Первый Московский государственный медицинский университет им. И.М. Сеченова Минздрава России (Сеченовский Университет)090520252111001061612202403032025https://oncourology.abvpress.ru/oncur/article/view/1886

Malignant tumors affecting perineum skin are rare. The most common neoplasms of this area are squamous cell carcinoma, melanoma, and extramammary Paget’s disease. The most effective treatment for patients with nonmetastatic types of these malignant tumors is surgery. Despite relative technical simplicity of radical resection of the affected skin, the difficulties of defects reconstruction often limits the possibilities of surgical treatment. One of the techniques for replacement of medium-sized and large defects after surgical treatment of anogenital skin tumors is the use of regional fasciocutaneous lotus petal flap. The article presents descriptions of clinical cases of this technique using in 4 patients including 3 women with vulvar cancer and a man with extramammary Paget’s disease.

Злокачественные опухоли, поражающие кожу промежности, редки. Наиболее распространенными среди новообразований данной локализации являются плоскоклеточный рак, базальноклеточный рак, меланома и экстрамаммарная болезнь Педжета. Наиболее эффективным методом лечения пациентов с неметастатическими формами этих злокачественных опухолей остается хирургический. Несмотря на относительную техническую простоту радикального удаления пораженной кожи промежности, нередко фактором, ограничивающим возможности оперативного лечения, является сложность устранения образовавшихся дефектов. Одной из методик пластического замещения средних и крупных дефектов после хирургического лечения злокачественных опухолей кожи аногенитальной зоны является использование регионального кожно-фасциального лоскута «лепесток лотоса» (“lotus petal”). В статье приводится описание клинических случаев использования данного метода у 4 пациентов, включая 3 женщин с раком вульвы и мужчину с экстрамаммарной болезнью Педжета.

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