Oda Goshi, Nakagawa Tsuyoshi, Uemura Noriko, Mori Hiroki, Mori Mio, Fujioka Tomoyuki, Onishi Iichiroh, Uetake Hiroyuki
Department of Specialized Surgery, Tokyo Medical and Dental University, Graduate School of Medicine and Dentistry, Tokyo 113-8519, Japan.
Department of Plastic and Reconstructive Surgery, Tokyo Medical and Dental University, Graduate School of Medicine and Dentistry, Tokyo 113-8519, Japan.
Mol Clin Oncol. 2021 Mar;14(3):49. doi: 10.3892/mco.2021.2211. Epub 2021 Jan 19.
At our institution (Tokyo Medical and Dental University, Medical Hospital), latissimus dorsi flap (LD flap) reconstruction without a prosthetic implant is a popular surgical strategy following total mastectomy in patients with breast cancer. The LD flap, especially the extended LD flap, is usually rotated anteriorly through the axilla. However, if future additional surgery is required for axillary recurrence after LD flap reconstruction, the flap interferes with the visual field, making the surgical procedure more difficult. Because cases of axillary lymph node recurrence alone are rare, to the best of our knowledge, no paper has reported in detail on the technique and course of lymph node recurrence after LD flap reconstruction. The present study describes two cases of successful axillary lymph node dissection without sacrificing the flap for breast cancer recurrence after LD flap reconstruction. A brief analysis of immediate breast reconstruction with an LD flap performed in patients with breast cancer at our institution is also reported.
在我们机构（东京医科齿科大学医学部附属医院），对于乳腺癌患者，在全乳切除术后采用背阔肌肌皮瓣（LD瓣）进行无假体植入重建是一种常用的手术策略。LD瓣，尤其是扩展LD瓣，通常经腋窝向前旋转。然而，如果在LD瓣重建后腋窝复发需要进一步手术，该瓣会干扰视野，使手术操作更加困难。由于单纯腋窝淋巴结复发的病例很少，据我们所知，尚无文献详细报道LD瓣重建后淋巴结复发的技术和过程。本研究描述了2例在不牺牲LD瓣的情况下成功进行腋窝淋巴结清扫以治疗LD瓣重建后乳腺癌复发的病例。此外，还报告了对我院乳腺癌患者采用LD瓣进行即刻乳房重建的简要分析。
