Latissimus dorsi reconstruction: a good option for patients with failed breast conservation therapy.

Abstract:

:The majority of patients with breast carcinoma are being treated with breast conservation therapy (BCT): lumpectomy and postoperative radiation. Local recurrence reported at 8% to 11% is often treated with salvage mastectomy. This has led to a growing group of patients requiring breast reconstruction after failed BCT. Reluctance to use the latissimus dorsi flap (LDF) has resulted from reports of high implant capsular contracture rates. We present a series of 12 patients who underwent LDF reconstruction after the development of recurrent breast cancer after BCT. All 12 patients had a satisfactory esthetic result. Despite previous radiation, the capsular contracture rate was 12.5% (median follow up, 50 months; range, 20-93 months). The most common complication was donor site seroma in 25% (3 of 12) of cases. The LDF yielded satisfactory esthetic results with a low capsular contracture rate. Despite prior radiation, LDF remains a good option for breast reconstruction after failure of BCT.

journal_name

Ann Plast Surg

authors

Freeman ME,Perdikis G,Sternberg EG,TerKonda SP,Waldorf JC

doi

10.1097/01.sap.0000215252.05233.b0

subject

Has Abstract

pub_date

2006-08-01 00:00:00

pages

134-7

issue

2

eissn

0148-7043

issn

1536-3708

pii

00000637-200608000-00003

journal_volume

57

pub_type

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