Ahmed Shahnur, Mohan Ganesh, Hulsman Luci, Greene Arin K, Shaheen Muhammad, Sinha Mithun, Hassanein Aladdin H
From Division of Plastic Surgery, Indiana University School of Medicine, Indianapolis, Ind.
Department of Plastic and Oral Surgery, Boston Children's Hospital, Harvard Medical School, Boston, Mass.
Plast Reconstr Surg Glob Open. 2024 May 17;12(5):e5824. doi: 10.1097/GOX.0000000000005824. eCollection 2024 May.
Breast cancer-related lymphedema results in chronic upper limb swelling with subcutaneous deposition of fluid and fibroadipose tissue. Morbidity includes psychosocial distress, infection, and difficulty using the extremity. Operative management includes excisional procedures such as suction-assisted lipectomy to reduce abnormal subcutaneous fibroadipose tissue to improve limb volume. Patients who have had postmastectomy breast reconstruction often benefit from fat grafting. This report introduces the concept of fat grafting the breast using the lymphedematous arm as a donor site. This technique improves the volume of the limb by removing the excess subcutaneous adipose, and at the same time reconstructs the breast without adding a donor site not related to the breast cancer-related lymphedema.
乳腺癌相关的淋巴水肿会导致上肢慢性肿胀，伴有液体和纤维脂肪组织的皮下沉积。其发病包括心理社会困扰、感染以及使用该肢体困难。手术治疗包括切除手术，如抽脂辅助脂肪切除术，以减少异常的皮下纤维脂肪组织，从而改善肢体体积。接受乳房切除术后乳房重建的患者通常受益于脂肪移植。本报告介绍了使用淋巴水肿手臂作为供区进行乳房脂肪移植的概念。该技术通过去除多余的皮下脂肪来增加肢体体积，同时重建乳房，而无需增加与乳腺癌相关淋巴水肿无关的供区。
