Improvement of Upper Extremity Lymphedema after Delayed Breast Reconstruction with an Extended Latissimus Dorsi Myocutaneous Flap
نویسندگان
چکیده
Lymphedema is a common complication after mastectomy in breast cancer patients. Many treatment options are available, but no treatment results in a complete cure. We report a case of lymphedema that occurred after modified radical mastectomy in a breast cancer patient who showed objective improvement after delayed breast reconstruction with an latissimus dorsi myocutaneous flap. A 41-year-old female patient with left breast cancer had undergone modified radical mastectomy with axillary lymph node dissection and postoperative radiotherapy 12 years previously. Four years after surgery, lymphedema developed and increased in aggravation despite conservative treatment. Eight years after the first operation, the patient underwent delayed breast reconstruction using the extended latissimus dorsi myocutaneous flap method. After reconstruction, the patient's lymphedema symptoms showed dramatic improvement by subjective measures including tissue softness and feeling of lightness, and by objective measures of about 7 mL per a week, resulting in near normal ranges of volume. At a postoperative follow-up after 3 years, no recurrence was observed. Delayed breast reconstruction with extended latissimus dorsi myocutaneous flaps may be helpful to patients with lymphedema after mastectomy. This may be a good option for patients who are worried about the possibility of the occurrence or aggravation of secondary lymphedema.
منابع مشابه
Latissimus Dorsi Myocutaneous Flap for Breast Reconstruction: Bad Rap or Good Flap?
OBJECTIVE This article serves to review latissimus dorsi myocutaneous flap as an option for breast reconstruction postmastectomy. Since the introduction of the latissimus dorsi myocutaneous flap in the late 1970s, its use has always been as a secondary technique, particularly after the development of the transverse rectus abdominus myocutaneous flap in the 1980s. METHODS A literature review o...
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Immediate breast reconstruction with expander assisted latissimus dorsi flap after skin sparing mastectomy.
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متن کاملBreast Reconstruction Using a Latissimus Dorsi Flap with Skin Graft after Total Paliative Mastectomy in a Large Advanced Carcinoma Breast
Latissimus dorsi (LD) myocutaneous flap can be regarded as the choice flap for autologous breast reconstruction following a total mastectomy in a case of large breast cancer with skin graft where microsurgical expertise are not available and patient are not suitable for other different types of flap .It is regarded as a relatively safe procedure, no microsurgical expertise is needed with fever ...
متن کاملThe Role of Latissimus Dorsi Myocutaneous Flaps in Secondary Breast Reconstruction After Breast-Conserving Surgery
OBJECTIVE Secondary reconstruction after breast-conserving surgery is generally challenging because of the nature of irradiated tissue. The aim of this study was to validate the use of latissimus dorsi myocutaneous (LDM) flaps for secondary breast reconstruction after breast-conserving surgery. METHODS Fifteen consecutive patients who underwent secondary reconstruction with an LDM flap after ...
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