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Substantial chest-wall deformity following tissue expansion after radiotherapy.

de Wildt RP, Tuinder S, van der Hulst RR - Eur J Plast Surg (2009)

Bottom Line: During expansion, the woman developed an abnormal concave deformity of the chest wall.Although respiratory or aesthetic consequences were expected, our patient reported only pain and was satisfied with the end result.On the basis of this finding, we advise surgeons to take the risk of chest-wall deformity into consideration when planning a reconstruction with tissue expanders, especially in patients with a history of radiotherapy, and we recommend an alternative reconstructive method in this group of patients.

View Article: PubMed Central - PubMed

ABSTRACT
We present the case of a 54-year-old woman who underwent a two-stage breast reconstruction with a tissue expander after sustaining a lumpectomy and local radiotherapy for breast cancer. During expansion, the woman developed an abnormal concave deformity of the chest wall. Although respiratory or aesthetic consequences were expected, our patient reported only pain and was satisfied with the end result. Osteoporosis or local recurrence was excluded as predisposing factors, and radiotherapy was considered to be the causal factor in our patient. On the basis of this finding, we advise surgeons to take the risk of chest-wall deformity into consideration when planning a reconstruction with tissue expanders, especially in patients with a history of radiotherapy, and we recommend an alternative reconstructive method in this group of patients.

No MeSH data available.


Related in: MedlinePlus

Appearance of left and right breast 9 months after placement of bilateral permanent implants
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Related In: Results  -  Collection


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Fig3: Appearance of left and right breast 9 months after placement of bilateral permanent implants

Mentions: During the entire reconstructive process, the patient suffered no respiratory discomfort or decreased exercise tolerance. After reconstruction of the left breast and augmentation of the right breast, our patient had a bilateral B cup and was satisfied with the end result (Fig. 3). We suggested lipofilling in a later stage to improve the contour of the lower pole of the left breast.Fig. 3


Substantial chest-wall deformity following tissue expansion after radiotherapy.

de Wildt RP, Tuinder S, van der Hulst RR - Eur J Plast Surg (2009)

Appearance of left and right breast 9 months after placement of bilateral permanent implants
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2837208&req=5

Fig3: Appearance of left and right breast 9 months after placement of bilateral permanent implants
Mentions: During the entire reconstructive process, the patient suffered no respiratory discomfort or decreased exercise tolerance. After reconstruction of the left breast and augmentation of the right breast, our patient had a bilateral B cup and was satisfied with the end result (Fig. 3). We suggested lipofilling in a later stage to improve the contour of the lower pole of the left breast.Fig. 3

Bottom Line: During expansion, the woman developed an abnormal concave deformity of the chest wall.Although respiratory or aesthetic consequences were expected, our patient reported only pain and was satisfied with the end result.On the basis of this finding, we advise surgeons to take the risk of chest-wall deformity into consideration when planning a reconstruction with tissue expanders, especially in patients with a history of radiotherapy, and we recommend an alternative reconstructive method in this group of patients.

View Article: PubMed Central - PubMed

ABSTRACT
We present the case of a 54-year-old woman who underwent a two-stage breast reconstruction with a tissue expander after sustaining a lumpectomy and local radiotherapy for breast cancer. During expansion, the woman developed an abnormal concave deformity of the chest wall. Although respiratory or aesthetic consequences were expected, our patient reported only pain and was satisfied with the end result. Osteoporosis or local recurrence was excluded as predisposing factors, and radiotherapy was considered to be the causal factor in our patient. On the basis of this finding, we advise surgeons to take the risk of chest-wall deformity into consideration when planning a reconstruction with tissue expanders, especially in patients with a history of radiotherapy, and we recommend an alternative reconstructive method in this group of patients.

No MeSH data available.


Related in: MedlinePlus