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26 Dec

In the last two decades due to improved chemotherapy and radiotherapy treatments as well as improved surgical technique, there has been an increase in limb preserving surgeries at the expense of radical amputations.The patient adamantly rejected amputation and therefore elected to undergo re-excision of the mass, total elbow replacement and latissimus dorsi myocutaneous rotation flap.Due to perivascular scarring and inflammation from previous surgery and radiation, the flap pedicle was compromised and the flap was not viable.458 West B&B, Allen & Son Barbeque, Angelina’s Kitchen, Bean and Barrel, Bella Donna, Browns Chapel United Methodist Church, Carolina Brewery, Chatham Habitat for Humanity, Community Home Care & Hospice, Lowes Foods Stores, Inc. Assoc., Chatham Central Chapter FCCLA, Chatham Charter School, Chatham Co Democratic Committee, Chatham Co Health Dept, Chatham Co Library, Chatham County Health Dept, Chatham Health/Senoir Services, Chatham Hospital, Chatham Realty, Chatham Studio Tour, Christ United Methodist VBC, Curves of Pittsboro, Dillon Thomas, Don Davis Storyteller, Food Lion, Girl Scout Troop #113, Girl Scouts 1006, Highland Estates Homeowners, Horton Middle School, IPAS, Joyful Jewel, JS Waters School, Kelsi Wilson, Lowes Friends feeding friends, Lowes Home Improvement, Moncure Health Clinic, Moncure School, Nancy Reynolds Physical Therapy, New Branch Chiropractic, Northwood, Pittsboro Dollar General, Pittsboro Baptist Pre-School, Pittsboro Library, Pittsboro Post Office, Pleasant Hill UMC, River Road/Indian Landing, Roberts Chapel Missionary, Robyn’s Nest, Ruth Taylor Corn Maze, SECU North Chatham, SECU Pittsboro, Silk Hope School, St Matthews Youth, UMC Fairway Dist Mission Rally, UNC Human Resource Dept, UNC School Of Social Work, Univ.

Case GG is an 85 year old retired electrician with a complex past medical and surgical history which includes renal cell carcinoma, mesenteric carcinoid tumour, B-cell lymphoma, chronic lymphocytic leukemia and multiple basal cell carcinomas.In 2006, GG noticed a painless nodule on his left elbow.The tumour was in the previously irradiated tissue bed and further radiation was not recommended.Therefore surgical options were considered; these included above elbow amputation, local excision, and limb sparing wide excision, which would require concomitant total elbow arthroplasty and flap coverage.