System describing surgical field extension associated with flap reconstruction after resection of a superficial malignant soft tissue tumor

Figure 1 Synovial sarcoma at the distal upper arm (elbow) reconstructed by a pedicled latissimus dorsi (pedicled flap, CpDp). A: A 47-year-old female with a synovial sarcoma at the elbow (distal upper arm). Magnetic resonance imaging showed a tumor with heterogenous low-to-high signal intensity on the T2-weighted image. Before (A-I) and after (A-II) chemotherapy of doxorubicin and ifosfamide, the tumor size was reduced. B-D: A wide surgical resection was performed with a pedicled latissimus dorsi. The CD-grade was CpDp (pedicled flap, CpDp).