Parkash S, Srinivasan R, Ananthakrishnan N
Br J Plast Surg. 1981 Jul;34(3):291-4. doi: 10.1016/0007-1226(81)90011-4.
Large, advanced, fungating breast tumours are a special problem in developing countries. The surgical treatment is often confined to rescue and relief and primary closure of the excisional defect is highly desirable. Split-skin grafts are often unsatisfactory for many reasons. Full thickness local flaps, cut as thickly as possible, give the best results and the "sheet anchor" in skin cover is the medially based deltopectoral flap. Myocutaneous flaps can be useful in treating low inner quadrant growths and lesions which leave no room for a deltopectoral flap.
大型、晚期、溃疡型乳腺肿瘤在发展中国家是一个特殊问题。手术治疗往往局限于挽救和缓解，非常希望能对切除后的缺损进行一期缝合。由于多种原因，断层皮片移植往往不尽人意。尽可能切得厚一些的全厚局部皮瓣效果最佳，皮肤覆盖的“片状锚定物”是内侧蒂的胸大肌三角肌皮瓣。肌皮瓣可用于治疗乳腺内下象限的低位肿物以及没有空间容纳胸大肌三角肌皮瓣的病变。
