Immediate chest wall reconstruction during pregnancy: Surgical management after extended surgical resection due to primary sarcoma of the breast

Background: Breast sarcoma during pregnancy is an extremely rare event and represents a complex problem because of a more advanced stage at presentation. Method: This report presents the first case of a 24-year-old woman with a gestational age of 20 weeks with a fast growing tumour in her left breast (29 x 19 x 15 cm) and infiltrating the skin/pectoralis muscles. Radical mastectomy was performed with a gestational age of 22 weeks and a different design was planned for the latissimus dorsi musculocutaneous flap (LDMF) with primary closure in the V-Y pattern. Result: Satisfactory chest wall coverage and contour were achieved. Final histopathological findings allowed a diagnosis of undifferentiated sarcoma. With a gestational age of 37 weeks, a healthy infant was delivered by means of a caesarean section. The patient is currently in the second postoperative year and no recurrence has been observed. Conclusion: Management of a large breast sarcoma in a pregnant patient presents unique challenges in consideration of the potential risks to the foetus and the possible maternal benefit. The results of this study demonstrate that the VY-LDMF is a reliable technique and should be considered in cases of immediate large thoracic wound reconstruction.

Palavras-chave

Breast reconstruction, Breast cancer, Sarcoma, Latissimus dorsi myocutaneous flap, Pregnancy

URI

https://observatorio.fm.usp.br/handle/OPI/5329

Referências

Aden C, 2004, BRIT J CANCER, V91, P237
Berry DL, 1999, J CLIN ONCOL, V17, P855
Crosby MA, 2010, PLAST RECONSTR SURG, V126, P1805, DOI 10.1097/PRS.0b013e3181f5276f
Lee MC, 2007, SURG CLIN N AM, V87, P379, DOI 10.1016/j.suc.2007.01.012
Micali E, 2001, PLAST RECONSTR SURG, V107, P1382, DOI 10.1097/00006534-200105000-00010
Munhoz AM, 2005, PLAST RECONSTR SURG, V116, P741, DOI 10.1097/01.prs.0000176251.15140.36
Pavlidis N, 2005, CANCER TREAT REV, V31, P439, DOI 10.1016/j.ctrv.2005.04.010
Pereg D, 2008, CANCER TREAT REV, V34, P302, DOI 10.1016/j.ctrv.2008.01.002
Woo E, 2006, ANN THORAC SURG, V82, P752, DOI 10.1016/j.athoracsur.2005.07.030

Coleções

Artigos e Materiais de Revistas Científicas - FM/MCG
Artigos e Materiais de Revistas Científicas - HC/ICESP
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - LIM/04
Artigos e Materiais de Revistas Científicas - LIM/58
Artigos e Materiais de Revistas Científicas - ODS/03

Página do item completo