ANTEROLATERAL THIGH FLAP FOR METASTATIC INGUINAL NODAL MASS IN A TREATED CASE OF CARCINOMA PENIS

Penile tumors are aggressive cancers with the pattern of dissemination predominantly lymphogenic.Nodal metastasis can present years after the treatment of the primary . Palliative resection of the nodes with adequate flap reconstruction in these situations improve the quality of life and help avoid the associated complications. A treated case of carcinoma penis presented with delayed nodal metastasis in the left inguinal region after a period of four years. Wide excision of the nodal mass and coverage of the defect with ipsilateral anterolateral thigh flap was performed with the help of plastic surgeon's assistance . Neoadjuvant chemotherapy can be utilised to shrink the nodal mass but carries the theoretical risk of causing femoral vessel blowout secondarily due to necrosis of the previously weakened vessel wall