Case Report: Effective Use of the Orticochea Flap in the Surgical Treatment of Non-Hodgkin Lymphoma

Anastasia Dessy Harsono; Metaudina Chandra Pratiwi; Dominic Melino Tjokrovonco

Authors

Anastasia Dessy Harsono Author
Metaudina Chandra Pratiwi Author
Dominic Melino Tjokrovonco Author

Keywords:

Non-Hodgkin Lymphoma, Reconstructive Surgery, Orticochea Flap, Case Report

Abstract

Non-Hodgkin lymphoma is a malignant disease arising from lymphoid tissues, primarily affecting the lymph nodes. The clinical manifestations and histological appearances of non-Hodgkin lymphoma are diverse, typically presenting with swelling, pain, and ulcers in the head and neck region. This case report discusses the management of a 55-year-old immunocompetent female patient presenting with a large, painless mass extending from the neck to the occipital region of the scalp, mimicking the features of a sarcoma. Closing scalp defects poses a significant challenge for plastic surgeons due to the limited tissue and variable elasticity of the scalp. Orticochea flap, also known as the "banana peel" flap was performed on the patient after the removal of the tumor mass. The orticochea flap technique allows for greater surface area coverage while maintaining vascularity, resulting in quicker procedures and good aesthetic outcomes.

Downloads

Download data is not yet available.

References

1. Sapkota S, Shaikh H. Non-Hodgkin Lymphoma [Internet]. PubMed. Treasure Island (FL): StatPearls Publishing; 2020. Available from: https://www.ncbi.nlm.nih.gov/books/NBK559328/

2. Walter C, Ziebart T, Sagheb K, Rahimi-Nedjat RK, Manz A, Hess G. Malignant Lymphomas in the Head and Neck Region - a Retrospective, Single-Center Study over 41 Years. International Journal of Medical Sciences. 2015;12(2):141–5.

3. Gupta P, Agarwal P, Ahuja A, Durga CK. Primary cutaneous non-Hodgkin’s lymphoma, clinically mimicking a soft tissue sarcoma. CytoJournal. 2018 Jan 25;15:2.

4. Singaraju S, Patel S, Sharma A, Singaraju M. Non-Hodgkins lymphoma – A case report and review of literature. Journal of Oral and Maxillofacial Pathology. 2020;24(2):322.

5. Shen H, Jiang L, Nie L, Fan X, Xu Y, Yin L, et al. Prognostic Analysis of Patients with Primary Extranodal Lymphoma: A Retrospective Study. Cancer Management and Research. 2021 Mar;Volume 13:2171–80.

6. Kamiński B. Lymphomas of the head-and-neck region. Journal of Cancer Research and Therapeutics [Internet]. 2021 Dec 1 [cited 2024 Apr 17];17(6):1347. Available from: https://journals.lww.com/cancerjournal/fulltext/2021/17060/lymphomasof_the_head_and_neck_region.10.aspx

7. Danieluk AE, Mańdziuk JH, Wojtukiewicz MZ, Sierko E. A rare case of an extranodal head and neck lymphoma primarily diagnosed as sarcoma. Oncology in Clinical Practice. 2017 Jan 1;13(2):67–70.

8. Marie E, Navallas M, Katz DS, Farajirad E, Punnett A, Davda S, et al. Non-Hodgkin Lymphoma Imaging Spectrum in Children, Adolescents, and Young Adults. RadioGraphics. 2022 Jul;42(4):1214–38.

9. Saito K, Goto F, Yamamoto H, Kaneda S, Sakai A, Ebisumoto K, et al. Malignant Lymphoma with the MRI Findings Mimicking Inflammatory Disease: A Case Report. Tokai J Exp Clin Med [Internet]. 2023 [cited 2024 Apr 17];48(1):1–4. Available from: http://mj-med-u-tokai.com/pdf/480101.pdf

10. Lin KY, Wilson Tiu Lao, Chan WP. Lymphoma Spectrum of Image Findings in One Patient. Journal of the Belgian Society of Radiology. 2023 Jan 1;107(1).

11. Cho J. Basic immunohistochemistry for lymphoma diagnosis. Blood Research [Internet]. 2022 Apr 30;57(S1):S55–61. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9057666/

12. Al-Naeeb AB, Ajithkumar T, Behan S, Hodson DJ. Non-Hodgkin lymphoma. BMJ [Internet]. 2018 Aug 22;362. Available from: https://www.bmj.com/content/362/bmj.k3204

13. Weledji EP, Enow Orock G. Surgery for non-Hodgkin’s lymphoma. Oncology Reviews. 2015 Jul 3;

14. Schmitz C, Rekowski J, Müller SP, Farsijani N, Hertenstein B, Franzius C, et al. Impact of complete surgical resection on outcome in aggressive non‐Hodgkin lymphoma treated with immunochemotherapy. Cancer Medicine. 2020 Sep 14;9(22):8386–96.

15. Zhang C, Zhang X, Liu Z, Tao J, Lin L, Zhai L. The impact of surgery on long-term survival of patients with primary intestinal non-Hodgkin lymphomas based on SEER database. Scientific Reports [Internet]. 2021 Nov 29 [cited 2024 Apr 17];11(1):23047. Available from: https://www.nature.com/articles/s41598-021-02597-1

16. Deng X, Xu X, Lin D, Zhang X, Yu L, Sheng H, et al. Real-World Impact of Surgical Excision on Overall Survival in Primary Central Nervous System Lymphoma. Frontiers in oncology. 2020 Feb 26;10.