Reconstruction of an Extended Defect in the Axilla Using a Thoracodorsal Fasciocutaneous Perforator Flap
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- Visconti, G., Eltahir, Y., Van Ginkel, R.J. et al. Aesth Plast Surg (2008) 32: 813. doi:10.1007/s00266-008-9218-7
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Ectopic primary carcinoma of breast tissue is a rare entity, and its diagnosis often is delayed. The axilla is the most common site involved. The Limberg flap as a random flap is easy and practicable for coverage of many defects including those involving the axilla. In the reported case, the vascularity of the flap was improved by including a thoracodorsal artery perforator.
This report presents the clinical features of a case of ectopic breast carcinoma in the axilla and an alternative tension-free Limberg thoracodorsal artery perforator flap for reconstruction of the extended defect after excision of the tumor.
The flap survived and healed without further problems. A good functional and aesthetic result was obtained.
Ectopic primary carcinoma of breast tissue is a rare entity. Correct early diagnosis should be made. A tension-free fasciocutaneous flap according to Limberg, supercharged using a thoracodorsal artery perforator, can provide skin and soft tissue coverage for extended defects in the axilla with a satisfactory outcome. The operative procedure is easy and reliable. This is a further surgical option for soft tissue extended reconstruction in the armpit.