Olvera-Caballero Carlos, Acosta-Ponce de Leon Eric, Sanchez-Sosa Sergio
Plastic and Reconstructive Surgery Service, Surgical Oncology Service, and Pathology Service, Hospital Angeles Puebla, Puebla 72190, México.
Plast Reconstr Surg Glob Open. 2017 Feb 22;5(2):e1248. doi: 10.1097/GOX.0000000000001248. eCollection 2017 Feb.
This study describes a case report of a 31-year-old patient who presented with a left thoracic tumor on costal cartilages 5 and 6 that was diagnosed as a desmoid tumor 3 years after receiving retropectoral breast implants for cosmetic reasons. The integral reconstruction of the thoracic wall, functional and aesthetic, was planned for a single surgical period. The defect secondary to the tumor resection, which left the pericardium and lung exposed, was closed using the pectoral muscle as a "pre-expanded" flap by the breast implant, and the breast aesthetic was treated bilaterally with new implants in the retromammary position. After 12 months, the patient remained free from tumor recurrence and had a satisfactory aesthetic result.
本研究描述了一例31岁患者的病例报告，该患者因美容原因接受胸大肌后乳房植入物3年后，在第5和第6肋软骨处出现左胸肿瘤，经诊断为韧带样瘤。计划在单一手术期内对胸壁进行功能和美学的整体重建。肿瘤切除后的缺损使心包和肺暴露，利用乳房植入物将胸大肌作为“预扩张”皮瓣来封闭缺损，并且在乳房后间隙双侧植入新的植入物来改善乳房美观。12个月后，患者无肿瘤复发，美学效果令人满意。
