Chest wall reconstruction following axillary breast augmentation and desmoid tumor resection using capsular flaps and a form-stable silicone implant: A case report, diagnosis and surgical technique

Show simple item record

dc.contributor Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.author MUNHOZ, Alexandre Mendonca FMUSP-HC
MARQUES, Ary de Azevedo
MILANEZ, Jose Ribas FMUSP-HC
GEMPERLI, Rolf FMUSP-HC
dc.date.issued 2017
dc.identifier.citation INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS, v.36, p.110-115, 2017
dc.identifier.issn 2210-2612
dc.identifier.uri http://observatorio.fm.usp.br/handle/OPI/21774
dc.description.abstract INTRODUCTION: Chest desmoid tumors (CDT) are rare lesions characterized by fibroblastic proliferation from the connective tissue. Although CDT have been studied previously, no cases following subfascial transaxillary breast augmentation (TBA) have been described. PRESENTATION OF CASE: The authors describe a case of CDT in a 28-year-old woman one year after TBA, which presented as a painful and progressive mass in the lower-inner right breast quadrant. MRI showed a soft-tissue tumor (6 x 3 x 4 cm) that affected the region of the right anterior costal margin, without signs of structural costal invasion. Patient was treated surgically, exposing the right costal-sternal region through an inframammary approach and resecting the CDT. The remaining capsular flap was mobilized into the defect and a form-stable silicone implant was utilized to cover the chest wall defect and achieve an adequate breast contour. The patient is currently in 5th year after chest reconstruction, with satisfactory results. Neither the tumor or the symptoms recurred. DISCUSSION: CDT is an uncommon evolution following TBA. Although it is a rare disease, thoracic and plastic surgeons must be alert to avoid misdiagnosis. Defect reconstruction is necessary, mobilizing the capsular flaps and replacing the implants in order to obtain a satisfactory outcome. CONCLUSION: Knowledge of this rare post-operative evolution is crucial, and early surgical intervention is warranted in order to avoid more aggressive treatment. This case report provides general knowledge of CDT, and may be used as guidance for early diagnosis and treatment. (C) 2017 The Author(s).
dc.language.iso eng
dc.publisher ELSEVIER SCI LTD
dc.relation.ispartof International Journal of Surgery Case Reports
dc.rights openAccess
dc.subject Case report; Breast augmentation; Breast reconstruction; Chest reconstruction; Desmoid tumor; Myocutaneous flap; Form-stable silicone implants; Complication
dc.title Chest wall reconstruction following axillary breast augmentation and desmoid tumor resection using capsular flaps and a form-stable silicone implant: A case report, diagnosis and surgical technique
dc.type article
dc.rights.holder Copyright ELSEVIER SCI LTD
dc.description.group LIM/04
dc.description.group LIM/61
dc.identifier.doi 10.1016/j.ijscr.2017.05.023
dc.identifier.pmid 28554106
dc.type.category original article
dc.type.version publishedVersion
hcfmusp.author MUNHOZ, Alexandre Mendonca:HC:ICESP
hcfmusp.author MILANEZ, Jose Ribas:HC:INCOR
hcfmusp.author GEMPERLI, Rolf:FM:MCG
hcfmusp.author.external · MARQUES, Ary de Azevedo:Hosp Sirio Libanes, Sao Paulo, Brazil
hcfmusp.origem.id WOS:000407193300027
hcfmusp.origem.id 2-s2.0-85019837148
hcfmusp.publisher.city OXFORD
hcfmusp.publisher.country ENGLAND
hcfmusp.relation.reference · Abrao FC, 2011, CLINICS, V66, P705, DOI 10.1590/S1807-59322011000400028
· Agha RA, 2016, INT J SURG, V34, P180, DOI 10.1016/j.ijsu.2016.08.014
· American Society of Plastic Surgeons, 2013, 2013 COSM PLAST SURG
· Berezovsky A.B., 2013, AESTHET PALST SURG, V37, P395
· Bolke E, 2009, EUR J MED RES, V14, P240
· Brandstetter M., 2010, PLAST RECONTR AESTHE, V63, P1388
· CASILLAS J, 1991, RADIOGRAPHICS, V11, P959
· Heden P., 2015, PLAST RECONSTR SURG, V11, pe556
· Jeong Woo Shik, 2013, Archives of Plastic Surgery, V40, P470, DOI 10.5999/aps.2013.40.4.470
· Kallam A.R., 2014, J CLIN DIAGN RES, V8
· Lev D, 2007, J CLIN ONCOL, V25, P1785, DOI 10.1200/JCO.2006.10.5015
· Lista F, 2013, PLAST RECONSTR SURG, V132, P1684, DOI 10.1097/PRS.0b013e3182a80880
· Matrai Z, 2011, PLAST RECONSTR SURG, V127, p1E, DOI 10.1097/PRS.0b013e3181f958ba
· Maxwell GP, 2015, PRS-GLOB OPEN, V3, DOI 10.1097/GOX.0000000000000388
· Munhoz AM, 2006, AESTHET PLAST SURG, V30, P503, DOI 10.1007/s00266-006-0017-8
· Munhoz AM, 2015, CLIN PLAST SURG, V42, P565, DOI 10.1016/j.cps.2015.06.016
· Pacella SJ, 2009, CLIN PLAST SURG, V36, P49, DOI 10.1016/j.cps.2008.07.006
· Shields CJ, 2001, EUR J SURG ONCOL, V27, P701, DOI 10.1053/ejso.2001.1169
dc.description.index PubMed
hcfmusp.citation.scopus 0
hcfmusp.citation.wos 0
hcfmusp.affiliation.country Brasil


Files in this item

This item appears in the following Collection(s)

Show simple item record

Search DSpace



Browse

My Account

Statistics