Vindigni Vincenzo, Kohlscheen Eva, Kraljic Tajna, Bassetto Franco, Pavan Chiara
Unit of Plastic and Reconstructive Surgery, Department of Neurosciences, University of Padova, Padova, Italy; Unit of Psychiatry, University of Padova, Padova, Italy.
Plast Reconstr Surg Glob Open. 2017 Apr 20;5(4):e1312. doi: 10.1097/GOX.0000000000001312. eCollection 2017 Apr.
We present a case of a woman, 79 years old, followed by Psychiatry for depressive episodes after breast cancer removal. She was operated on for ductal breast carcinoma in 1983. Afterward she was submitted to adjuvant radiotherapy. She came to our attention for a chronic skin ulcer that developed into the radio-treated area about 4 years ago. We performed a skin biopsy and programed adipose tissue grafts to promote wound healing. The result of the biopsy was unexpected: dermal localization of not differentiated breast carcinoma. She is currently under systemic chemotherapy treatment. The key message is to always perform a skin biopsy of a chronic skin ulcer developed after breast cancer removal before planning surgical reconstruction.
我们报告一例79岁女性病例，该患者在乳腺癌切除术后因抑郁发作接受精神科治疗。她于1983年接受了乳腺导管癌手术。术后接受了辅助放疗。大约4年前，她因放疗区域出现慢性皮肤溃疡而引起我们的关注。我们进行了皮肤活检并安排了脂肪组织移植以促进伤口愈合。活检结果出乎意料：未分化乳腺癌的真皮定位。她目前正在接受全身化疗。关键信息是，在计划手术重建之前，对于乳腺癌切除术后出现的慢性皮肤溃疡，始终要进行皮肤活检。
