Malignant Phyllodes Tumor Recurrence in the Pleural Cavity via the Deep Inferior Epigastric Perforator Flap and Internal Mammary Vessel Bundle

2019 ◽  
Vol 82 (6) ◽  
pp. 618-621 ◽  
Author(s):  
Chien-Liang Fang ◽  
Chin-Hao Hsu ◽  
Chin-Wen Tu
Keyword(s):  
Tumor Recurrence ◽  
Pleural Cavity ◽  
Perforator Flap ◽  
Phyllodes Tumor ◽  
Malignant Phyllodes Tumor ◽  
Internal Mammary ◽  
Deep Inferior Epigastric Perforator

Pathological Internal Mammary Lymph Nodes in Secondary and Tertiary Deep Inferior Epigastric Perforator Flap Breast Reconstructions

2005 ◽  
Vol 55 (6) ◽  
pp. 583-586 ◽  
Author(s):  
Stefan O. P. Hofer ◽  
Hinne A. Rakhorst ◽  
Marc A. M. Mureau ◽  
Sanne E. Moolenburgh ◽  
Martine A. van Huizum ◽  
...  
Keyword(s):  
Lymph Nodes ◽  
Perforator Flap ◽  
Internal Mammary Lymph Nodes ◽  
Internal Mammary ◽  
Deep Inferior Epigastric Perforator

scholarly journals Chimeric ALT Plus TFL Perforator Flap for Breast Reconstruction Post Radical Mastectomy with Large Skin Defect

2021 ◽  
Vol 54 (02) ◽  
pp. 208-210
Author(s):  
Dushyant Jaiswal ◽  
Mayur Raman Mantri ◽  
Vinay Kant Shankhdhar ◽  
Snehjeet Hemant Wagh
Keyword(s):  
Donor Site ◽  
Perforator Flap ◽  
Radical Mastectomy ◽  
Phyllodes Tumor ◽  
Left Breast ◽  
Skin Defect ◽  
Postoperative Radiation Therapy ◽  
Internal Mammary ◽  
Skin Excision ◽  
Large Skin

AbstractA 17-year-old girl with large malignant phyllodes tumor of left breast underwent a radical mastectomy with large skin excision resulting in defect of 20 cm × 18 cm. Postoperative radiation therapy necessitated robust cover with flap. The challenge was compounded by her body habitus. Both abdomen and back were deficient as donor sites and a single-island anterolateral thigh (ALT) flap would need skin grafts, volume deficit withstanding. We harvested chimeric ALT plus tensor fascia lata (TFL) perforator free flap sparing all muscles and nerves. Microvascular anastomoses were done to the second internal mammary artery (IMA) perforator artery and vein. The donor site was closed primarily. The TFL flap territory recruited almost three times the volume of ALT territory and allowed us to create a matching breast mound in addition to covering the defect. She tolerated 40 Gy radiation well and doesn’t desire further augmentation. Consistency of ALT and TFL perforators makes this a replicable procedure.

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