Alharbi Muhannad, Garrido Ignacio, Vaysse Charlotte, Chavoin Jean Pierre, Grolleau Jean Louis, Chaput Benoit
Department of Plastic and Reconstructive Surgery, Faculty of Medicine, University of Toulouse Rangueil, Toulouse, France; and Department of Surgery and Gynecology, Faculty of Medicine, University of Toulouse Rangueil, Toulouse, France.
Plast Reconstr Surg Glob Open. 2013 Dec 6;1(8):e68. doi: 10.1097/GOX.0000000000000012. eCollection 2013 Nov.
Autologous fat grafting is commonly performed in reconstructive breast surgery but also increasingly in breast augmentation surgery. On the international level, we are witnessing an important increased confidence for this procedure. Nevertheless, it continues to raise questions on the risks of cancer. A 66-year-old patient benefited from a lipofilling to improve a latissimus dorsi flap breast reconstruction, 7 years after initial cancer management. Two years later, constant pain in the flap leads to reoperation. The flap showed a major retraction with histologically massive infiltration of the muscle by an undifferentiated carcinoma of breast origin. The tumor cells were displayed directly in contact with lipofilling inside the muscle. Without establishing any causal link between these 2 events, this case raises the question once more of the risks of breast cancer and encourages us to continue being careful.
自体脂肪移植术在乳房重建手术中很常见，在隆乳手术中也越来越常用。在国际上，我们看到人们对该手术的信心显著增强。然而，它仍引发了关于癌症风险的问题。一名66岁的患者在最初的癌症治疗7年后，接受了脂肪填充术以改善背阔肌肌皮瓣乳房重建效果。两年后，皮瓣持续疼痛导致再次手术。皮瓣出现严重挛缩，组织学检查显示肌肉被乳腺来源的未分化癌大量浸润。肿瘤细胞直接与肌肉内的脂肪填充物接触。虽然未确定这两个事件之间存在任何因果关系，但该病例再次引发了乳腺癌风险的问题，并促使我们继续保持谨慎。
