ISSN Online: 2177-1235 | ISSN Print: 1983-5175

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Thoracoabdominal flap for locally advanced breast tumor reconstruction in a patient with BRCA1 mutation

Danilo Rafael da Silva Fontinele; Ana Lúcia Nascimento Araújo; Rodrigo José de Vasconcelos Valença; Sabas Carlos Vieira
Rev. Bras. Cir. Plást. 2019;34(4):571-575 - Case Report

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ABSTRACT

This case report describes the application of the thoracoabdominal flap technique after locally advanced tumor mastectomy in a patient with breast cancer 1 (BRCA1) mutation. The mastectomy included resection of nearly the entire left pectoralis major muscle, with homolateral axillary lymphadenectomy and reconstruction of the large chest wall defect with a fasciocutaneous thoracoabdominal flap based on the posterior intercostal arteries.

Keywords: Reconstruction; Plastic surgery; Breast neoplasms; Mutation; Surgical oncology.

 

RESUMO

O presente estudo objetiva relatar a técnica do retalho toracoabdominal pós-mastectomia por tumor localmente avançado em paciente com mutação de BRCA1. Foi realizada a mastectomia com ressecção de quase todo o músculo peitoral maior à esquerda, com linfonodectomia axilar homolateral e reconstrução do grande defeito da parede torácica com retalho toracoabdominal fasciocutâneo, baseado nas artérias intercostais posteriores.

Palavras-chave: Reconstrução; Cirurgia plástica; Neoplasias da mama; Mutação; Oncologia cirúrgica

 

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