CASE REPORT
Chest wall reconstruction in recurrent breast carcinoma – a case report
 
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1
Plastic and Reconstructive Department, Hospital Kuala Lumpur, Malaysia
 
2
Reconstructive Science Unit, Health Campus, University Sains Malaysia, Malaysia
 
 
Submission date: 2023-11-04
 
 
Final revision date: 2023-11-23
 
 
Acceptance date: 2023-11-23
 
 
Online publication date: 2024-02-01
 
 
Corresponding author
Rebecca Xin Yi Choy   

Plastic and Reconstructive Department, Hospital Kuala Lumpur, Jalan Pahang, 50586, Kuala Lumpur, Malaysia.
 
 
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Complex chest wall reconstruction after an oncological resection requires a multidisciplinary approach with the aim of curative resection.

Aim:
The complexity of such reconstruction is challenged by prior reconstructions that limit the options for free tissue transfer and recipient vessels for microsurgical anastomoses.

Case study:
We present a case of an immunocompromised patient with prior breast reconstruction for left breast carcinoma with a pedicled lattisimus dorsi flap who presents with a recurrence to the latissimus dorsi flap requiring a more extensive oncological resection.

Results and discussion:
This resulted in a large chest wall defect that is reconstructed with plating and an anterolateral thigh fasciocutaneous free flap for soft tissue coverage.

Conclusions:
The radical resection allows for excellent overall survival and better quality of life.

FUNDING
None declared.
CONFLICT OF INTEREST
None declared.
 
REFERENCES (10)
1.
Colleoni M, Sun Z, Price KN, et al. Annual Hazard Rates of Recurrence for Breast Cancer During 24 Years of Follow-Up: Results From the International Breast Cancer Study Group Trials I to V. J Clin Oncol. 2016;34(9):927–935. https://doi.org/10.1200/jco.20....
 
2.
Thöle M, Jezierska-Thöle A, Schensar R, Gwiaździńska-Goraj M. Trends in breast cancer incidence and mortality, clinical diagnosis and treatment in the light of the contemporary demographic changes in Germany and Poland. Pol Ann Med. 2020;27(2):159–167. https://doi.org/10.29089/2020.....
 
3.
Wakeam E, Acuna SA, Keshavjee S. Chest wall resection for recurrent breast cancer in the modern era. Ann Surg. 2018;267(4):646–655. https://doi.org/10.1097/sla.00....
 
4.
Salo JTK, Tukiainen EJ. Oncologic resection and reconstruction of the chest wall. Plast Reconstr Surg. 2018;142(2):536–547. https://doi.org/10.1097/prs.00....
 
5.
Chang RR, Mehrara BJ, Hu QY, Disa JJ, Cordeiro PG. Reconstruction of complex oncologic chest wall defects. Ann Plast Surg. 2004;52(5):471–479. https://doi.org/10.1097/01.sap....
 
6.
Chai CS, Shamugam K, Basiron NB, et al. Challenges in complex oncological chest wall reconstruction with free anterolateral thigh flap and titanium rib plate. Indian J Plast Surg. 2023;56(02):166–172. https://doi.org/10.1055%2Fs-00....
 
7.
Song D, Li Z, Zhang Y, et al. [Application of expanded anterolateral thigh myocutaneous flap in the repair of huge chest wall defect]. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2022;36(7):834–839. https://doi.org/10.7507/1002-1....
 
8.
Bucknor A, Syed M, Gui G, James S. Thrombosis of the internal mammary artery during delayed autologous breast reconstruction: A manifestation of occult residual cancer. JPRAS Open. 2016;8:6–8. https://doi.org/10.1016/j.jpra....
 
9.
Yang EH, Marmagkiolis K, Balanescu DV, et al. Radiation-induced vascular disease – A state-of-the-art review. Front Cardiovasc Med. 2021;8: 652761. https://doi.org/10.3389/fcvm.2....
 
10.
Yavari A, Molaei H, Ghahremani A, Etemad O, Amini H, Rafieian S. The thoracoacromial artery as the lifeboat in recipient artery deficiency in complex chest wall defect reconstruction. Int J Surg Case Rep. 2023;106:108057. https://doi.org/10.1016/j.ijsc....
 
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