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

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

4 Citations (Scopus)

Abstract

BACKGROUND: 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.

METHODS: 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.

RESULTS: The flap survived and healed without further problems. A good functional and aesthetic result was obtained.

CONCLUSION: 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.

Original languageEnglish
Pages (from-to)813-816
Number of pages4
JournalAesthetic plastic surgery
Volume32
Issue number5
DOIs
Publication statusPublished - Sep-2008

Keywords

  • ectopic primary carcinoma of the breast
  • limberg local flap
  • thoracodorsal fasciocutaneous perforator
  • ECTOPIC BREAST-TISSUE
  • HIDRADENITIS SUPPURATIVA
  • SURGICAL-TREATMENT
  • LIMBERG FLAP
  • CARCINOMA
  • CANCER
  • MANAGEMENT
  • EXCISION

Cite this