Objective: To investigate the advantages of plastic surgical treatment for malignant soft tissue tumors and refractory wounds.

Methods: According to the lesion type, location, and size, malignant tumors were excised including the 3 - 5 cm normal tissue around the tumor and the refractory wounds were debrided completely. The adjacent flaps or musculocutaneous flaps, or free flaps were selected to repair the defect.

Results: From 2003 to 2006, 21 cases were treated. All the flaps survived completely. The patients were followed up for 2 - 3 years with relapse in only one case with tumor. All the refractory wound healed.

Conclusions: Excellent results can be achieved with plastic surgical technique for malignant soft tissue tumors and refractory wounds. Plastic surgical technique enhances the therapeutic effect of other surgical treatment.

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