{"title":"Surgical Management of a Clavicular Defect after Basosquamous Carcinoma Resection. A Case Report.","authors":"Vadym Sulyma, Volodymyr Holotiuk, Liliia Lehun Tverdokhlib, Taras Mulyk, Yevhen Nychvyd, Yuliia Divnych, Myroslav Lehun, Bohdan Divnych","doi":"10.5604/01.3001.0055.7774","DOIUrl":null,"url":null,"abstract":"<p><p>A long-term chronic infection can undergo malignant transformation. This article presents a clinical case of concurrent chronic clavicular osteomyelitis and basosquamous carcinoma XH4C18 (ICD 11) T4bN0M0 Stage II – a non-melanoma skin cancer that developed secondary to a more than nine-year course of a purulent process with spread to the bone tissue and subsequent malignization. Radical sanitation of the lesion in combination with staged reconstruction using local skin flaps (keystone, rotational full-thickness flap) and VAC therapy ensured effective wound healing and aesthetic restoration. This clinical case confirms the effectiveness of combining reconstructive treatment methods for a complex tissue defect resulting from invasive purulent and neoplastic lesions.</p>","PeriodicalId":19622,"journal":{"name":"Ortopedia, traumatologia, rehabilitacja","volume":"28 1","pages":"57-62"},"PeriodicalIF":0.0000,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ortopedia, traumatologia, rehabilitacja","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5604/01.3001.0055.7774","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
A long-term chronic infection can undergo malignant transformation. This article presents a clinical case of concurrent chronic clavicular osteomyelitis and basosquamous carcinoma XH4C18 (ICD 11) T4bN0M0 Stage II – a non-melanoma skin cancer that developed secondary to a more than nine-year course of a purulent process with spread to the bone tissue and subsequent malignization. Radical sanitation of the lesion in combination with staged reconstruction using local skin flaps (keystone, rotational full-thickness flap) and VAC therapy ensured effective wound healing and aesthetic restoration. This clinical case confirms the effectiveness of combining reconstructive treatment methods for a complex tissue defect resulting from invasive purulent and neoplastic lesions.