Kobraei Edward M, Kenady Daniel E, Rogers W Bryan, Rinker Brian D
University of Kentucky College of Medicine, Lexington, KY 40536, USA.
Ann Plast Surg. 2012 Jun;68(6):559-61. doi: 10.1097/SAP.0b013e318216e6ce.
Local tumor recurrence after mastectomy with immediate reconstruction is rare. Most reported recurrences involve invasive or in situ ductal carcinoma and occur at the skin or subcutaneous tissues near the mastectomy site. We report a case of a patient with malignant phyllodes tumor that recurred after mastectomy with immediate pedicle transverse rectus abdominis myocutaneous flap reconstruction. The recurrent disease involved the mastectomy bed, transverse rectus abdominis myocutaneous flap, abdominal donor site, and precostal tunnel.
乳房切除术后即刻重建后局部肿瘤复发罕见。大多数报道的复发涉及浸润性或原位导管癌，发生在乳房切除部位附近的皮肤或皮下组织。我们报告一例恶性叶状肿瘤患者，该患者在乳房切除术后即刻采用带蒂腹直肌肌皮瓣重建后复发。复发病变累及乳房切除床、腹直肌肌皮瓣、腹部供区和肋前隧道。
