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Chest wall perforator flap to partially reconstruct central mound of breast tissue - evolution of the technique.

Authors:
Sreekumar Sundara Rajan Rashmi Verma Bade L Murthy

J Surg Case Rep 2022 Jun 16;2022(6):rjac276. Epub 2022 Jun 16.

Department of Breast Surgery, Lancashire Teaching Hospitals NHS Foundation Trust, Chorley, UK.

We describe the use of chest wall perforator flap (CWPF) to reconstruct the central mound of breast tissue in women presenting with central/retro areolar breast cancer. We describe the results of seven patients (median age, 59 years) with a median follow-up of 9 months. We were able to conserve the breast in all except one woman who was found to have extensive DCIS. Two patients were taken back to theatre, one for a washout of infected seroma and second for a wound debridement. There was no flap loss or donor site complications in our series. We were able to conserve the breast, maintain aesthetic contour of the central mound along with projection and achieve excellent cosmetic outcome for our patients. Partial breast reconstruction using CWPF provides an oncologically safe and cosmetically superior alternative in selected women with breast cancer needing central wide local excision.

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http://dx.doi.org/10.1093/jscr/rjac276DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9202636PMC
June 2022

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