Substantial chest-wall deformity following tissue expansion after radiotherapy
| Autor: | Stefania Tuinder, Ramon P. de Wildt, René R. W. J. van der Hulst |
|---|---|
| Přispěvatelé: | RS: NUTRIM - R3 - Chronic inflammatory disease and wasting, MUMC+: MA Plastische Chirurgie (9), Plastische en Reconstructieve Chirurgie |
| Jazyk: | angličtina |
| Předmět: |
medicine.medical_specialty
Complications medicine.medical_treatment Case Report Thoracic wall Breast cancer Deformity medicine Breast Radiotherapy business.industry Lumpectomy medicine.disease Tissue expansion devices Surgery Radiation therapy Plastic surgery medicine.anatomical_structure Radiology medicine.symptom Breast reconstruction business Tissue expansion |
| Zdroj: | European Journal of Plastic Surgery, 32, 337-340. Springer, Cham European Journal of Plastic Surgery |
| ISSN: | 0930-343X |
| DOI: | 10.1007/s00238-009-0364-1 |
| Popis: | We present the case of a 54-year-old woman who underwent a two-stage breast reconstruction with a tissue expander after sustaining a lumpectomy and local radiotherapy for breast cancer. During expansion, the woman developed an abnormal concave deformity of the chest wall. Although respiratory or aesthetic consequences were expected, our patient reported only pain and was satisfied with the end result. Osteoporosis or local recurrence was excluded as predisposing factors, and radiotherapy was considered to be the causal factor in our patient. On the basis of this finding, we advise surgeons to take the risk of chest-wall deformity into consideration when planning a reconstruction with tissue expanders, especially in patients with a history of radiotherapy, and we recommend an alternative reconstructive method in this group of patients. |
| Databáze: | OpenAIRE |
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