Reconstruction of an extended defect in the axilla using a thoracodorsal fasciocutaneous perforator flap

Giuseppe Visconti, Yassir Eltahir, Robert J. Van Ginkel, Paul M. N. Werker

Risultato della ricerca: Contributo in rivistaArticolo in rivista

4 Citazioni (Scopus)

Abstract

Background: Ectopic primary carcinoma of breast tissue is a rare entity, and its diagnosis often is delayed. The axilla is the most common site involved. The Limberg flap as a random flap is easy and practicable for coverage of many defects including those involving the axilla. In the reported case, the vascularity of the flap was improved by including a thoracodorsal artery perforator. Methods: This report presents the clinical features of a case of ectopic breast carcinoma in the axilla and an alternative tension-free Limberg thoracodorsal artery perforator flap for reconstruction of the extended defect after excision of the tumor. Results: The flap survived and healed without further problems. A good functional and aesthetic result was obtained. Conclusion: Ectopic primary carcinoma of breast tissue is a rare entity. Correct early diagnosis should be made. A tension-free fasciocutaneous flap according to Limberg, supercharged using a thoracodorsal artery perforator, can provide skin and soft tissue coverage for extended defects in the axilla with a satisfactory outcome. The operative procedure is easy and reliable. This is a further surgical option for soft tissue extended reconstruction in the armpit. © 2008 Springer Science+Business Media, LLC and International Society of Aesthetic Plastic Surgery.
Lingua originaleEnglish
pagine (da-a)813-816
Numero di pagine4
RivistaAesthetic Plastic Surgery
Volume32
DOI
Stato di pubblicazionePubblicato - 2008
Pubblicato esternamente

Keywords

  • Adenocarcinoma
  • Axilla
  • Breast
  • Breast Neoplasms
  • Choristoma
  • Ectopic primary carcinoma of the breast
  • Female
  • Follow-Up Studies
  • Graft Survival
  • Humans
  • Limberg local flap
  • Middle Aged
  • Rare Diseases
  • Reconstructive Surgical Procedures
  • Risk Assessment
  • Surgery
  • Surgical Flaps
  • Thoracodorsal fasciocutaneous perforator
  • Treatment Outcome
  • Wound Healing

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