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

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dc.contributor Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP ARRUDA, Eduardo Gustavo FMUSP-HC
MUNHOZ, Alexandre Mendonca
dc.identifier.citation JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, v.67, n.1, p.115-118, 2014
dc.identifier.issn 1748-6815
dc.description.abstract 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.
dc.language.iso eng
dc.publisher ELSEVIER SCI LTD
dc.relation.ispartof Journal of Plastic Reconstructive and Aesthetic Surgery
dc.rights restrictedAccess
dc.subject Breast reconstruction; Breast cancer; Sarcoma; Latissimus dorsi myocutaneous flap; Pregnancy
dc.subject.other cancer; flap
dc.title Immediate chest wall reconstruction during pregnancy: Surgical management after extended surgical resection due to primary sarcoma of the breast
dc.type article
dc.rights.holder Copyright ELSEVIER SCI LTD LIM/04 LIM/58
dc.identifier.doi 10.1016/j.bjps.2013.06.007
dc.identifier.pmid 23827451
dc.type.category original article
dc.type.version publishedVersion ARRUDA, Eduardo Gustavo:HC:ICESP MONTAG, Eduardo:HC:LIM/04 FILASSI, Jose Roberto:HC:LIM/58 GEMPERLI, Rolf:FM:MCG · MUNHOZ, Alexandre Mendonca:Hosp Sirio Libanes, BR-01239040 Sao Paulo, Brazil WOS:000329208900026 2-s2.0-84891826161 OXFORD ENGLAND
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dc.description.index MEDLINE
dc.identifier.eissn 1878-0539
hcfmusp.citation.scopus 2
hcfmusp.citation.wos 3 Brasil

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