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
dc.contributor.author ARRUDA, Eduardo Gustavo FMUSP-HC
MUNHOZ, Alexandre Mendonca
MONTAG, Eduardo FMUSP-HC
FILASSI, Jose Roberto FMUSP-HC
GEMPERLI, Rolf FMUSP-HC
dc.date.issued 2014
dc.identifier.citation JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, v.67, n.1, p.115-118, 2014
dc.identifier.issn 1748-6815
dc.identifier.uri http://observatorio.fm.usp.br/handle/OPI/5329
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
dc.description.group LIM/04
dc.description.group 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
hcfmusp.author ARRUDA, Eduardo Gustavo:HC:ICESP
hcfmusp.author MONTAG, Eduardo:HC:LIM/04
hcfmusp.author FILASSI, Jose Roberto:HC:LIM/58
hcfmusp.author GEMPERLI, Rolf:FM:MCG
hcfmusp.author.external · MUNHOZ, Alexandre Mendonca:Hosp Sirio Libanes, BR-01239040 Sao Paulo, Brazil
hcfmusp.origem.id WOS:000329208900026
hcfmusp.origem.id 2-s2.0-84891826161
hcfmusp.publisher.city OXFORD
hcfmusp.publisher.country ENGLAND
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dc.description.index MEDLINE
dc.identifier.eissn 1878-0539
hcfmusp.citation.scopus 2
hcfmusp.citation.wos 3
hcfmusp.affiliation.country Brasil


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