| Title | [Latissimus dorsi myocutaneous flap in locally advanced breast cancer surgical treatment] |
| Source | Khirurgiia (Sofiia) 2005; (6):56-8. |
| Abstract | Locally advanced breast cancer (LABC) usually have a poor prognosis. In some cases surgical treatment is not performed at all due to technical problem: mastectomy defect closure. Even all additional forms of treatment are involved there is a little chance to reduce a huge tumor mass and get tumor growing under control.
MATERIAL AND METHODS: We present a case of LABC in 46-year woman with history of three-year breast cancer (T4NxMI - supraclavicular).
RESULTS: Because of tumor formation in left breast and pathologically confirmed left supracla-vicular lymph node metastasis at 2003, the whole course of neoadjvant therapy was performed - including radio and chemotherapy. With signs of new spread of disease the patient was admitted in 3rd Surgical Clinic, Medical University - Plovdiv. After a proper preoperative preparation the patient was operated. The ontological part of procedure involved simple mastectomy during which the soft tissues 34/14 cm defect was occurred. In the reconstructive phase of the operation a LDF was disained and with additional V-Y-plasty the mastectomy defect was completely covered.
CONCLUSIONS: 1. Even with a poor prognosis the LABC must by a surgical case in order to maximum tumor mass redusing. 2. LDF is a technical possible way for postmasrectomy soft tissue defect reconstruct-tion. 3. It is necessity to include the LDF in a earlier treatment stage. |
| Language | bul |
| Pub Type(s) | English Abstract
Journal Article
|
| PubMed ID | 18771155 |
