Reconstruction of an extended defect in the axilla using a thoracodorsal fasciocutaneous perforator flap.

Abstract:

BACKGROUND:Ectopic primary carcinoma of breast tissue is a rare entity, and its diagnosis often is delayed. The axilla is the most common site involved. The Limberg flap as a random flap is easy and practicable for coverage of many defects including those involving the axilla. In the reported case, the vascularity of the flap was improved by including a thoracodorsal artery perforator. METHODS:This report presents the clinical features of a case of ectopic breast carcinoma in the axilla and an alternative tension-free Limberg thoracodorsal artery perforator flap for reconstruction of the extended defect after excision of the tumor. RESULTS:The flap survived and healed without further problems. A good functional and aesthetic result was obtained. CONCLUSION:Ectopic primary carcinoma of breast tissue is a rare entity. Correct early diagnosis should be made. A tension-free fasciocutaneous flap according to Limberg, supercharged using a thoracodorsal artery perforator, can provide skin and soft tissue coverage for extended defects in the axilla with a satisfactory outcome. The operative procedure is easy and reliable. This is a further surgical option for soft tissue extended reconstruction in the armpit.

journal_name

Aesthetic Plast Surg

authors

Visconti G,Eltahir Y,Van Ginkel RJ,Werker PM

doi

10.1007/s00266-008-9218-7

subject

Has Abstract

pub_date

2008-09-01 00:00:00

pages

813-6

issue

5

eissn

0364-216X

issn

1432-5241

journal_volume

32

pub_type

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