Parasitization of the pedicle: a rare form of TRAM flap recurrence

Author:

Binks Matthew J12ORCID,Guo CiCi3,Sabanathan Danusha3,Sathasivam Sivapirabu3,Edirimanne Senarath34

Affiliation:

1. Department of Surgery, Gosford Hospital , Gosford, NSW , Australia

2. University of Newcastle , Newcastle, NSW , Australia

3. Department of Surgery, Nepean Hospital , Kingswood, NSW , Australia

4. University of Sydney , Sydney, NSW , Australia

Abstract

Abstract Local recurrence after mastectomy and autologous breast reconstruction is uncommon and tends to occur predictably within the superficial tissues or at the chest wall. We present a unique case of breast cancer recurrence involving the superficial and deep tissues. By parasitizing the pedicle of a free transverse rectus abdominis myocutaneous flap pedicle, the tumour was seen to extend through the chest wall to the right pleura.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference7 articles.

1. Local recurrence of breast cancer in reconstructed breasts using TRAM flap after skin-sparing mastectomy: clinical and imaging features;Yoo;Eur Radiol,2014

2. The prognosis of breast cancer patients after mastectomy and immediate breast reconstruction: a meta-analysis;Yang;PloS One,2015

3. MR imaging demonstration of a recurrent breast cancer following deep inferior epigastric perforator (DIEP) flap reconstruction;Caramella;Eur J RadiolExtra,2006

4. Where does subcutaneous lymph from the chest wall flow into after mastectomy?;Akita;J Plast Reconstr Aesthet Surg,2021

5. Breast cancer recurrence after immediate reconstruction: patterns and significance;Langstein;Plast Reconstr Surg,2003

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