Latissimus Dorsi Flap Invasion by Ductal Breast Carcinoma after Lipofilling
| Autor: | Jean Pierre Chavoin, Jean Louis Grolleau, Ignacio Garrido, Charlotte Vaysse, Benoit Chaput, Muhannad Alharbi |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
medicine.medical_specialty
business.industry Breast surgery medicine.medical_treatment lcsh:Surgery Constant pain lcsh:RD1-811 Case Reports Surgery Ductal Breast Carcinoma Radiation therapy medicine Autologous fat grafting Latissimus dorsi flap skin and connective tissue diseases business Breast augmentation Mastectomy |
| Zdroj: | Plastic and Reconstructive Surgery Global Open Plastic and Reconstructive Surgery, Global Open, Vol 1, Iss 8, p e68 (2013) |
| ISSN: | 2169-7574 |
| DOI: | 10.1097/gox.0000000000000012 |
| Popis: | The autologous fat grafting (AFG) revolutionized the management of tissue losses. This procedure is nowadays widely used in reconstructive breast surgery after cancer but more recently also in breast augmentation surgery.1 After mastectomy, the AFG is generally performed, but in the management of the conservative treatment sequelae and in breast augmentation surgery, it remains controversial.2–5 The main issue is the risks of cancer, still badly identified, of the AFG in the breast parenchyma. For 20 years, the recommendation of prudence of the American Society of Plastic and Reconstructive Surgeons edited in 1987 was a real barrier. However, since a few years, we have noticed a significant increase in confidence for AFG. A 66-year-old woman initially admitted for an invasive ductal carcinoma (IDC) of the right breast in 2003 benefited from a latissimus dorsi flap (LDF) in 2009 for the sequelae of radiotherapy. In 2010, an AFG allowed us to improve the cosmetic result. In 2012, she presented constant pain in the flap leading to reoperation. The LDF showed a massive infiltration of the muscle by an undifferentiated carcinoma of breast origin. Histologically, the tumor cells were displayed directly in contact with AFG inside the muscle. |
| Databáze: | OpenAIRE |
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