Wu Jiang, Yan Changjiao, Wang Lei, Yang Yuqing, Ling Rui, Li Nanlin
Department of Thyroid, Breast, and Vascular Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an 710032, China.
Ann Transl Med. 2019 Dec;7(23):794. doi: 10.21037/atm.2019.12.12.
Achieving satisfactory cosmetic results after breast-conserving surgery (BCS) can be difficult for breast cancer patients with large tumors. To avoid breast asymmetries and deformation, we present a case of breast reconstruction after BCS with a lateral mammary adipofascial flap, which was dissociated along the sentinel lymph node biopsy incision. During the procedure, the pedicled flap was transferred into the residual tumor cavity through a tunnel between them and then matched the residual cavity. The sufficient blood supply of the transferred flap was observed in ultrasound at follow-up. The operative is straightforward to perform and less invasive. No operative complications were observed. The cosmetic results were found to be good with a natural shape, volume, and symmetry, and with which the patient has reported high satisfaction. This procedure offers a new possibility in breast reconstruction and is worth considering as a new option for immediate repair after BCS.
对于患有大肿瘤的乳腺癌患者而言，保乳手术（BCS）后要获得令人满意的美容效果可能颇具难度。为避免乳房不对称和变形，我们呈现了一例采用外侧乳腺脂肪筋膜瓣进行保乳手术后乳房重建的病例，该瓣沿着前哨淋巴结活检切口进行分离。手术过程中，带蒂皮瓣通过它们之间的隧道转移至残留肿瘤腔，然后与残留腔相匹配。随访时通过超声观察到转移皮瓣血供充足。该手术操作简便，创伤较小。未观察到手术并发症。美容效果良好，乳房形状、体积和对称性自然，患者报告满意度较高。此手术为乳房重建提供了一种新的可能性，值得作为保乳手术后即刻修复的新选择加以考虑。
