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坏疽性脓皮病局限于重建乳房的放疗胸壁。

Pyoderma gangrenosum confined to the irradiated chest wall of the reconstructed breast.

作者信息

Hammond Jacob B, Pflibsen Lacey R, Kruger Erwin A, Casey William J, Noland Shelley S, Lettieri Salvatore C, Rebecca Alanna M, Struve Sara L, Teven Chad M

机构信息

Department of Surgery Mayo Clinic Phoenix AZ USA.

Division of Plastic & Reconstructive Surgery Mayo Clinic Phoenix AZ USA.

出版信息

Clin Case Rep. 2020 Dec 22;9(1):445-449. doi: 10.1002/ccr3.3553. eCollection 2021 Jan.

DOI:10.1002/ccr3.3553
PMID:33489195
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7813035/
Abstract

Pyoderma gangrenosum (PG) is a diagnosis of exclusion worsened by surgical debridement. This report presents two atypical manifestations of PG in the reconstructed breast, whereby the disease is only confined to the irradiated chest wall tissue bed, sparing the abdominal donor sites and the contralateral reconstructed breast.

摘要

坏疽性脓皮病（PG）是一种因手术清创而加重的排除性诊断。本报告介绍了PG在乳房重建中的两种非典型表现，即该疾病仅局限于接受过放疗的胸壁组织床，而腹部供区和对侧重建乳房未受影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c90/7813035/d6ebaeae1692/CCR3-9-445-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c90/7813035/5d341d358849/CCR3-9-445-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c90/7813035/587e992f7607/CCR3-9-445-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c90/7813035/b751ac3372d4/CCR3-9-445-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c90/7813035/d6ebaeae1692/CCR3-9-445-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c90/7813035/5d341d358849/CCR3-9-445-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c90/7813035/587e992f7607/CCR3-9-445-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c90/7813035/b751ac3372d4/CCR3-9-445-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c90/7813035/d6ebaeae1692/CCR3-9-445-g004.jpg

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本文引用的文献

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Plast Reconstr Surg Glob Open. 2017 Apr 21;5(4):e1239. doi: 10.1097/GOX.0000000000001239. eCollection 2017 Apr.
2
A systematic review of post-surgical pyoderma gangrenosum: identification of risk factors and proposed management strategy.术后坏疽性脓皮病的系统评价：危险因素识别及建议的管理策略
J Plast Reconstr Aesthet Surg. 2015 Mar;68(3):295-303. doi: 10.1016/j.bjps.2014.12.036. Epub 2014 Dec 29.
3
Pyoderma Gangrenosum After Breast Surgery: Diagnostic Pearls and Treatment Recommendations Based on a Systematic Literature Review.
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Ann Plast Surg. 2016 Aug;77(2):e39-44. doi: 10.1097/SAP.0000000000000248.
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