Reconstruction of Rare Skull Metastases Using Free Latissimus Dorsi XXXX and the Role of Preoperative Embolization in Hypervascular Skull Tumors.

@entity1 @entity788 @entity5 @entity75 @entity1912 @entity201 @entity1419 @entity3 @entity954
UNASSIGNED: @entity3 are the most common cranial @entity5 in adults. Skull metastases from rare @entity5 , such as @entity201 or @entity788 , are extremely uncommon and rarely reported. Given the scarcity and variation of these rare skull metastases, treatments and outcomes of such @entity1 are of interest to treating surgeons.The authors describe the treatment algorithm, course, and outcomes of 2 @entity1 with rare gastrointestinal skull metastases. The first @entity1 had @entity1419 metastatic to the skull, while the second @entity1 developed a solitary skull @entity3 secondary to a @entity788 . As part of this report, the authors include a literature review of rare skull metastases as well as the treatment of these 2 @entity1 .Both the @entity1 ultimately underwent successful resection of the @entity5 for relief of their clinical symptoms. Wide resections in both @entity1 necessitated reconstruction using a free latissimus dorsi muscle @entity1912 in both the @entity1 . Preoperative embolization of the hypervascular @entity201 skull @entity3 was performed prior to resection in the first @entity1 . To date, there have been only 4 such reports of skull metastases from @entity1419 and limited reported cases of isolated skull metastases from a @entity788 .In @entity1 with large or numerous skull @entity3 from rare @entity5 , surgical resection should be considered for symptomatic improvement. In cases of @entity75 , preoperative embolization can be considered to decrease the @entity954 . Free tissue transfers using myocutaneous flaps such as latissimus dorsi help in obliterating dead space, and creating a healthy soft tissue envelope to withstand postoperative radiation treatment. In addition, a chimeric @entity1912 can be designed to include additional muscle or soft tissue to obliterate and exclude the sinus cavities.
