Collins A M, Granahan A M, Healy D G, Lawlor C A, O'Neill S P
Department of Plastic Surgery, St. Vincent's University Hospital, Dublin.
Department of Radiology, AMNCH, Tallaght, Dublin 24.
Ir Med J. 2017 Mar 10;110(3):534.
The case of a giant thoracic desmoid tumour in a 44-year-old woman, who presented two years following a breast reconstruction with a latissimus dorsi (LD) flap and implant, is reported. Clinical findings included a rapidly growing, painless mass. Computed tomography (CT) suggested skin and intercostal soft tissue invasion. The tumour was resected en bloc with the LD muscle, implant capsule and underlying rib segments. The resultant thoracic and abdominal wall defects were reconstructed with Dualmesh® and polypropylene meshes respectively. There was no evidence of recurrence at thirty-six months follow-up.
本文报道了一例44岁女性的巨大胸部硬纤维瘤病例，该患者在采用背阔肌（LD）肌皮瓣和植入物进行乳房重建两年后出现症状。临床检查发现一个快速生长、无痛性肿块。计算机断层扫描（CT）显示有皮肤和肋间软组织侵犯。肿瘤与背阔肌、植入物包膜及下方肋骨节段一并整块切除。胸壁和腹壁缺损分别采用Dualmesh®和聚丙烯网片进行修复。随访36个月时未见复发迹象。
