Zaha Hisamitsu, Abe Norie, Matsumoto Hirofumi, Koki Ayako, Unesoko Mikiko
Department of Breast Surgery, Nakagami Hospital, 610 Noborikawa, Okinawa, Japan.
Department of Pathology, Nakagami Hospital, 610 Noborikawa, Okinawa, Japan.
Surg Case Rep. 2022 May 9;8(1):90. doi: 10.1186/s40792-022-01434-5.
Many oncoplastic volume replacement techniques have been reported, however, it is generally difficult to utilize a single distant flap for bilateral breast carcinomas.
We report a case of bilateral multiple breast carcinomas successfully treated with immediate volume replacement technique with an omental flap. Bilateral partial mastectomies were performed for bilateral breast carcinomas (one in the left breast and two in the right breast). The pedicled omental flap was laparoscopically harvested, and divided at the mid-portion of the flap. The proximal half of the flap was used to fill the right defect, and the distal half of the flap filled two defects in the left breast. Cosmetic outcome was excellent with minimal donor-site scars.
The omental flap can be considered for highly selected patients with bilateral breast carcinomas.
许多肿瘤整形容积替代技术已见报道，然而，使用单一远位皮瓣治疗双侧乳腺癌通常较为困难。
我们报告一例双侧多发性乳腺癌患者，采用带蒂网膜瓣即刻容积替代技术成功治疗。对双侧乳腺癌（左侧乳房1例，右侧乳房2例）行双侧部分乳房切除术。通过腹腔镜切取带蒂网膜瓣，并在瓣的中部进行分割。瓣的近端一半用于填充右侧缺损，瓣的远端一半填充左侧乳房的两个缺损。美容效果极佳，供区瘢痕极小。
对于经过严格筛选的双侧乳腺癌患者，可考虑使用网膜瓣。
