Undiferansiye pleomorfik sarkom (UPS), baþ-boyun bölgesinde nadir görülen, yüksek dereceli malign bir mezenkimal tümördür. Bu olgu sunumunda, sað boyun bölgesinde yerleþimli büyük boyutlu UPS nedeniyle cerrahi rezeksiyon uygulanan ve supraklaviküler arter ada flebi (SCAIF) ile rekonstrüksiyon yapýlan 34 yaþýndaki erkek hasta sunulmaktadýr. Hastanýn kitlesi, fizik muayene ve görüntüleme yöntemleri (MRG, BT ve PET-BT) ile deðerlendirildikten sonra insizyonel biyopsi ile taný konulmuþtur. Cerrahi iþlemde kitlenin eksizyonu ve modifiye radikal boyun diseksiyonu gerçekleþtirilmiþ, oluþan geniþ kutanöz defekt SCAIF kullanýlarak onarýlmýþtýr. Postoperatif dönemde komplikasyon geliþmeyen hasta, 15. günde taburcu edilmiþtir. Histopatolojik inceleme undiferansiye pleomorfik sarkom tanýsýný doðrulamýþ ve hastaya adjuvan radyoterapi ile eþzamanlý kemoterapi baþlanmýþtýr. Bu olgu, UPS taný ve tedavisinin yaný sýra, SCAIF'in baþ-boyun bölgesindeki geniþ doku defektlerinin rekonstrüksiyonunda güvenilir ve etkili bir seçenek olduðunu ortaya koymaktadýr.

Anahtar Kelimeler: Baþ ve Boyun Tümörleri, Rekonstrüktif Cerrahi Yöntemler, Sarkom, Cerrahi Flepler

Reconstruction with Supraclavicular Artery Island Flap for an Undifferentiated Pleomorphic Sarcoma of the Head and Neck: A Case Report

Undifferentiated pleomorphic sarcoma (UPS) is a rare, high-grade malignant mesenchymal tumor in the head and neck region. In this case report, we present a 34-year-old male patient who underwent surgical resection for a large UPS located in the right side of the neck, followed by reconstruction using a supraclavicular artery island flap (SCAIF). After evaluation of the mass through physical examination and imaging modalities (MRI, CT, and PET-CT), an incisional biopsy confirmed the diagnosis. Surgical management included excision of the mass and a modified radical neck dissection. The resulting large cutaneous defect was reconstructed using a SCAIF. The postoperative course was uneventful, and the patient was discharged on the 15th postoperative day. Histopathological examination confirmed the diagnosis of undifferentiated pleomorphic sarcoma, and the patient was subsequently treated with adjuvant radiotherapy and concurrent chemotherapy. This case highlights not only the diagnostic and therapeutic approach to UPS but also demonstrates that SCAIF is a reliable and effective option for the reconstruction of extensive soft tissue defects in the head and neck region.

Keywords: Head and Neck Neoplasms, Reconstructive Surgical Procedures, Sarcoma, Surgical Flaps