Reconstructive Management of Advanced Breast Cancer
- 1 September 2001
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Annals of Plastic Surgery
- Vol. 47 (3), 234-239
- https://doi.org/10.1097/00000637-200109000-00003
Abstract
To evaluate morbidity, quality of life, and oncological outcomes of patients with advanced breast cancer, recurrence, or sequelae secondary to radiotherapy, the authors present their experience with 21 patients at the Instituto Nacional de Cancerología in Mexico City, who underwent resection of the lesion and reconstruction using thoracoepigastric fasciocutaneous, rectus abdominis, or latissimus dorsi musculocutaneous flaps. Complications included partial flap necrosis and bronchopleural fistulae in 2 of 7 patients with whole-thickness chest wall resection. The remaining patients progressed nicely, with a short recovery period. The patients and the surgical team evaluated results in terms of aesthetics and function using questionnaires. The results were from fair to good according to Sneeuw’s scale. Pedicled musculocutaneous and fasciocutaneous flaps are an excellent reconstructive option in patients with advanced, recurrent breast cancer and in those with radionecrotic complications, which sometimes require resection of the whole-thickness chest wall.Keywords
This publication has 10 references indexed in Scilit:
- PRIMARY RECONSTRUCTION AFTER EXTENSIVE CHEST WALL RESECTIONAnz Journal of Surgery, 1998
- Reconstruction of complex chest wall defectsThe American Journal of Surgery, 1996
- Closure of Massive Chest Wall Defects After Full-Thickness Chest Wall ResectionAnnals of Plastic Surgery, 1995
- Cosmetic and functional outcomes of breast conserving treatment for early stage breast cancer. 2. Relationship with psychosocial functioningRadiotherapy and Oncology, 1992
- Chest-Wall Reconstruction by Contralateral Latissimus Dorsi Musculocutaneous FlapPlastic and Reconstructive Surgery, 1988
- Musculocutaneous Flap Reconstruction of Chest-Wall DefectsPlastic and Reconstructive Surgery, 1984
- Surgical management and reconstruction of extensive chest wall malignanciesThe American Journal of Surgery, 1982
- Management of Radiation Necrosis and Advanced Cancer of the Chest Wall in Patients with Breast MalignancyPlastic and Reconstructive Surgery, 1979
- REPAIR OF MAJOR DEFECTS OF THE CHEST WALL AND SPINE WITH THE LATISSIMUS DORSI MYOCUTANEOUS FLAPPlastic and Reconstructive Surgery, 1978
- A TRANSVERSE THORACOABDOMINAL SKIN FLAP FOR CLOSURE AFTER RADICAL MASTECTOMYPlastic and Reconstructive Surgery, 1978