Caracheo RRS, Ibarra RAG, Barragán CJC

Language: Spanish
References: 12
Page: 88-91
PDF size: 342.96 Kb.

ABSTRACT

For years, the incidence of breast cancer in men had remained stable. However there appears to be an increase from 0.86 to 1.06 per 100,000 populations in the last 26 years. The low incidence of cases and the lack of information about the disease in the population have allowed the cases to be detected until advanced stages of the disease, requiring a more aggressive treatment by the oncologist surgeon, a situation that requires a more elaborate reconstructive plan. The wide latissimus dorsi flap is one of the most commonly used procedures for reconstruction of the thoracic wall because of its wide arches of rotation and technical ease, as well as the wide variety of designs, making it an excellent alternative for coverage of large defects in the anterior chest wall. We present the case of a 28 year old man with invasive ductal carcinoma in the right breast, T4N2M0 stage III-B, in which radical mastectomy was performed with a defect resulting of 22 cm in diameter and reconstruction of the chest wall was made with a latissimus dorsi flap extended in VY, allowing adequate coverage. Although for chest and breast reconstructions we prefer the use of TRAM as the first option in the case of patients with giant chest wall defects, the coverage provided by the chest wall is insufficient. Due to these limitations, the use of the latissimus dorsi flap is preferred, with which an excellent coverage result was obtained without resulting complications.

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