Pilomatrix carcinoma is a rare cutaneous tumor derived from follicular matrix cells. It may arise de novo or from a malignant transformation of a pilomatrixoma. The latter process has been associated with impaired immune system surveillance of the host caused by UV radiation or the onset of an underlying malignant neoplasm. We report a case of a 58-year-old man presenting with a long-standing pilomatrix carcinoma on the inner right leg after 10 years of repeated curettage of the lesion, concurrent with a high-grade B-cell lymphoma on the same extremity. We describe a rare association which highlights the necessity of close follow-up of patients with long-standing malignant skin tumors.

Herein, we report an unusual indication of an arteriovenous (AV) loop with a latissimus dorsi free flap after wound-edge necrosis in an 81 year old patient. The patient underwent multiple revision procedures after total knee arthroplasty and total hip arthroplasty. After a dramatic reduction of femoral bone, a total femoral replacement was performed. The lateral knee incision wound was broke down and the hardware became exposed. Local flaps were not available and a free flap with an ipsilateral AV loop from the great saphenous vein was used to cover the large defect. The functional status of the hip and knee joints was good after 6 months, and enough the patient was able to ambulate without any assistance. The patient did not show any signs of infection.

Pregnancy-associated breast cancer (PABC) is defined as breast cancer occurring anytime during gestation, lactation or within 1 year after delivery. Breast reconstruction is considered an essential component in managing breast cancer patients, and immediate reconstruction provides superior esthetic outcome and better patient satisfaction. There are no sufficient reports on the feasibility of immediate breast reconstruction in patients during the course of gestation and no studies have been published using microsurgery breast reconstruction in PABC. We report three cases of immediate microsurgery breast reconstruction in pregnant cancer patient. We consider two distinct subsets in breast reconstruction in PABC: Bpregnancy^and Bafter delivery.^Pregnant breast cancer patients can be considered for immediate microsurgical breast reconstruction with optimal treatment through multidisciplinary management. Level of Evidence: Level V, therapeutic study