Latissimus dorsi reconstruction: a good option for patients with failed breast conservation therapy
| Autor: | Erez G. Sternberg, James C. Waldorf, Sarvam P. TerKonda, Mark E. Freeman, Galen Perdikis |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
medicine.medical_specialty medicine.medical_treatment Mammaplasty Breast Neoplasms Surgical Flaps medicine Humans Treatment Failure Mastectomy Aged Retrospective Studies business.industry Latissimus dorsi muscle Lumpectomy Capsular contracture Middle Aged medicine.disease Surgery Plastic surgery Seroma Female Breast carcinoma Breast reconstruction business |
| Zdroj: | Annals of plastic surgery. 57(2) |
| ISSN: | 0148-7043 |
| Popis: | The majority of patients with breast carcinoma are being treated with breast conservation therapy (BCT): lumpectomy and postoperative radiation. Local recurrence reported at 8% to 11% is often treated with salvage mastectomy. This has led to a growing group of patients requiring breast reconstruction after failed BCT. Reluctance to use the latissimus dorsi flap (LDF) has resulted from reports of high implant capsular contracture rates. We present a series of 12 patients who underwent LDF reconstruction after the development of recurrent breast cancer after BCT. All 12 patients had a satisfactory esthetic result. Despite previous radiation, the capsular contracture rate was 12.5% (median follow up, 50 months; range, 20-93 months). The most common complication was donor site seroma in 25% (3 of 12) of cases. The LDF yielded satisfactory esthetic results with a low capsular contracture rate. Despite prior radiation, LDF remains a good option for breast reconstruction after failure of BCT. |
| Databáze: | OpenAIRE |
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