Aesthetic Plastic Surgery

, Volume 32, Issue 5, pp 813–816

Reconstruction of an Extended Defect in the Axilla Using a Thoracodorsal Fasciocutaneous Perforator Flap

  • Giuseppe Visconti
  • Yassir Eltahir
  • Robert J. Van Ginkel
  • Paul M. N. Werker
Case Report

DOI: 10.1007/s00266-008-9218-7

Cite this article as:
Visconti, G., Eltahir, Y., Van Ginkel, R.J. et al. Aesth Plast Surg (2008) 32: 813. doi:10.1007/s00266-008-9218-7



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.


Ectopic primary carcinoma of the breast Limberg local flap Thoracodorsal fasciocutaneous perforator 

Copyright information

© Springer Science+Business Media, LLC and International Society of Aesthetic Plastic Surgery 2008

Authors and Affiliations

  • Giuseppe Visconti
    • 1
    • 2
  • Yassir Eltahir
    • 3
  • Robert J. Van Ginkel
    • 4
  • Paul M. N. Werker
    • 3
  1. 1.Catholic University of “Sacro Cuore”–School of MedicineRomeItaly
  2. 2.RomeItaly
  3. 3.Department of Plastic SurgeryUniversity Medical Centre GroningenGroningenThe Netherlands
  4. 4.Division of Surgical Oncology, Department of SurgeryUniversity Medical Centre GroningenGroningenThe Netherlands

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