Adult-Type Intrathoracic Xanthogranuloma: Excision and Reconstruction Using a Latissimus Dorsi Muscle Flap

Copyright 2014 The Korean Society of Plastic and Reconstructive Surgeons This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. The most common location for extracutaneous XG lesions is on the eyes, although other locations including the lung, kidney, central nervous system, colon, pericardium, ovary, liver, and spleen have been reported as well [2]. Therefore, we report our successful restoration of a huge intrathoracic dead space after excision of an extracutaneous adult XG using a latissimus dorsi (LD) muscle flap. A 35-year-old male visited the hospital with a complaint of painful swelling around the incision site of a thoracotomy performed earlier. According to his Xanthogranuloma (XG) is a benign and usually asymptomatic disease. It shows a self-limited etiology. Red, yellow, or brown papules and nodules composed of histiocytic cells appear on the skin [1]. This disease usually occurs at birth or within the first year of birth; however, it can occur in adults as well. The extracutaneous type of XG with no skin lesions is rare [2].