Inoue Mariko, Aoki Hironobu, Kamegai Mina, Takei Hiroyuki, Ogawa Rei
From the Department of Plastic, Reconstructive and Aesthetic Surgery, Nippon Medical School Hospital, Tokyo, Japan.
Department of Breast Surgery and Oncology, Nippon Medical School Hospital, Tokyo, Japan.
Plast Reconstr Surg Glob Open. 2025 May 2;13(5):e6777. doi: 10.1097/GOX.0000000000006777. eCollection 2025 May.
A 36-year-old woman underwent resection of a borderline phyllodes tumor in the left breast in August 2016. It recurred twice and was again resected. In September 2021, it recurred for the third time. The patient underwent nipple-sparing mastectomy and immediate breast reconstruction with a profunda-artery perforator flap from the left thigh and grafted fat from the right thigh. The postoperative course was excellent. The phyllodes tumor did not recur. The patient was highly satisfied with the appearance of the breast and both thighs. The profunda-artery perforator flap is one of the safest and most commonly used methods in breast reconstruction. However, the flap volume can be limited, and its fat distribution is unequal. Combining it with fat grafting can supplement volume and contour, including in the upper breast area. This approach can be a useful option when a larger flap volume is needed.
一名36岁女性于2016年8月接受了左乳交界性叶状肿瘤切除术。肿瘤复发两次，均再次进行了切除。2021年9月，肿瘤第三次复发。患者接受了保留乳头的乳房切除术，并立即采用左大腿旋股深动脉穿支皮瓣和右大腿移植脂肪进行乳房重建。术后恢复良好。叶状肿瘤未复发。患者对乳房及双大腿外观非常满意。旋股深动脉穿支皮瓣是乳房重建中最安全、最常用的方法之一。然而，皮瓣体积可能有限，且其脂肪分布不均。将其与脂肪移植相结合可以补充体积和塑形，包括乳房上部区域。当需要更大的皮瓣体积时，这种方法可能是一个有用的选择。
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