Thoracoabdominal flap as an alternative to close large soft tissue defects after mastectomies in cases of locally advanced breast cancer

Adrianzén, Marcos; Buch, Elvira; Izquierdo, Ana; Bàuza, Mireia; Muñoz, Ernesto; López, Vicente; Huntley, Dixie

doi:10.1016/j.cireng.2023.09.004

ISSN: 2173-5077

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Vol. 101. Issue 10.

Pages 710 (October 2023)

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DOI: 10.1016/j.cireng.2023.09.004

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Thoracoabdominal flap as an alternative to close large soft tissue defects after mastectomies in cases of locally advanced breast cancer

Colgajo toracoabdominal como alternativa al cierre de grandes defectos tras mastectomías amplias en casos de cáncer de mama localmente avanzado

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Marcos Adrianzéna,b,

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marcos_adrianzen@yahoo.com

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, Elvira Bucha,b, Ana Izquierdoa,b, Mireia Bàuzaa,b, Ernesto Muñoza,b, Vicente Lópeza,b, Dixie Huntleya,b

a Departamento de Cirugía General y del Aparato Digestivo, Hospital Clínico Universitario de Valencia, Valencia, Spain

b INCLIVA, Instituto de Investigación Sanitaria, Valencia, Spain

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A 50-year-old woman presented with an ulcerated tumor in the right breast that had been progressing for 2 years.

Biopsy confirmed the diagnosis of pure HER 2-type breast carcinoma. The CT scan showed a large tumor mass in the right breast measuring approximately 19 × 14 cm, with skin and pectoral muscle involvement. Lung metastases were observed (Fig. 1).

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After completing neoadjuvant treatment, a wide excision was performed, leaving a significant defect after surgery. To close the defect, a thoracoabdominal flap was planned. The patient presented a postoperative period without complications.

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