Santos Pauline Joy F, Prendergast Christina, Leis Amber
Department of Plastic Surgery, University of California, Irvine, CA, USA.
Case Rep Oncol Med. 2016;2016:5067817. doi: 10.1155/2016/5067817. Epub 2016 Dec 19.
Anterior chest wall giant basal cell carcinoma (GBCC) is a rare skin malignancy that requires a multidisciplinary treatment approach. This case report demonstrates the challenges of anterior chest wall GBCC reconstruction for the purpose of palliative therapy in a 72-year-old female. Surgical resection of the lesion included the manubrium and upper four ribs. The defect was closed with bilateral pectoral advancement flaps, FlexHD, and pedicled VRAM. The palliative nature of this case made hybrid reconstruction more appropriate than rigid sternal reconstruction. In advanced metastatic cancers, the ultimate goals should be to avoid risk for infection and provide adequate coverage for the defect.
前胸壁巨大基底细胞癌（GBCC）是一种罕见的皮肤恶性肿瘤，需要多学科治疗方法。本病例报告展示了一名72岁女性因姑息治疗目的进行前胸壁GBCC重建所面临的挑战。病变的手术切除包括胸骨柄和上四根肋骨。缺损采用双侧胸大肌推进皮瓣、FlexHD和带蒂腹直肌肌皮瓣进行闭合。该病例的姑息性质使得混合重建比刚性胸骨重建更为合适。在晚期转移性癌症中，最终目标应是避免感染风险并为缺损提供充分覆盖。
