Paradol P-O, Toussoun G, Delbaere M, Delaporte T, Delay E
Unité de Chirurgie Plastique et Reconstructrice, Centre Léon-Bérard, 28, rue Laënnec, 69008 Lyon, France.
Ann Chir Plast Esthet. 2008 Feb;53(1):63-9. doi: 10.1016/j.anplas.2007.02.011. Epub 2007 Apr 6.
Tumefaction arising lately after latissimus dorsi flap harvest are rare and observed in 1 or 2% of the cases. These lesions are frequently related to kystic sero-hematoma and are easily and efficiently treated with surgical excision. In some rare circumstances, a tumoral evolution can mimic a kystic sero-hematoma. We will discuss one case of desmoid tumor arising from a latissimus dorsi flap donor-site scar. The subject was a 45 years old woman who had a breast reconstruction following mastectomy. A dorsal tumefaction, with a benign aspect, was observed during the follow-up period. The biopsy showed an extra-abdominal desmoid tumor. The patient was treated with a large excision of the lesion and reconstructed using two opposing local cutaneous advancing flaps. No radicalization was necessary. No sign of recurrence has been observed at 4 years follow-up.
背阔肌肌皮瓣切取术后近期出现的肿块较为罕见，发生率约为1%至2%。这些病变常与囊性血清血肿有关，通过手术切除很容易且有效地进行治疗。在某些罕见情况下，肿瘤的演变可能会模仿囊性血清血肿。我们将讨论一例起源于背阔肌肌皮瓣供区瘢痕的硬纤维瘤病例。患者为一名45岁女性，在乳房切除术后进行了乳房重建。在随访期间观察到一个外观良性的背部肿块。活检显示为腹外硬纤维瘤。患者接受了病变的广泛切除，并使用两个相对的局部皮瓣推进进行重建。无需进行根治性手术。在4年的随访中未观察到复发迹象。
