Archives of Plastic Surgery

  • 제39권2호
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  • Pages.154-157
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  • 2012
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  • 2234-6163(pISSN)
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  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
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Improvement of Upper Extremity Lymphedema after Delayed Breast Reconstruction with an Extended Latissimus Dorsi Myocutaneous Flap

  • Lee, Kyeong-Tae (Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Lim, So-Young (Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Pyun, Jai-Kyung (Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Mun, Goo-Hyun (Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Oh, Kap-Sung (Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Bang, Sa-Ik (Department of Plastic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 투고 : 2011.10.01
  • 심사 : 2011.11.02
  • 발행 : 2012.03.15
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초록

Lymphedema is a common complication after mastectomy in breast cancer patients. Many treatment options are available, but no treatment results in a complete cure. We report a case of lymphedema that occurred after modified radical mastectomy in a breast cancer patient who showed objective improvement after delayed breast reconstruction with an latissimus dorsi myocutaneous flap. A 41-year-old female patient with left breast cancer had undergone modified radical mastectomy with axillary lymph node dissection and postoperative radiotherapy 12 years previously. Four years after surgery, lymphedema developed and increased in aggravation despite conservative treatment. Eight years after the first operation, the patient underwent delayed breast reconstruction using the extended latissimus dorsi myocutaneous flap method. After reconstruction, the patient's lymphedema symptoms showed dramatic improvement by subjective measures including tissue softness and feeling of lightness, and by objective measures of about 7 mL per a week, resulting in near normal ranges of volume. At a postoperative follow-up after 3 years, no recurrence was observed. Delayed breast reconstruction with extended latissimus dorsi myocutaneous flaps may be helpful to patients with lymphedema after mastectomy. This may be a good option for patients who are worried about the possibility of the occurrence or aggravation of secondary lymphedema.

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참고문헌

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피인용 문헌

  1. The link between lymphedema, breast reconstruction and microsurgery vol.3, pp.4, 2012, https://doi.org/10.2217/bmt.14.18
  2. Complicated breast cancer-related lymphedema: evaluating health care resource utilization and associated costs of management vol.211, pp.1, 2012, https://doi.org/10.1016/j.amjsurg.2015.06.015
  3. Latissimus dorsi flap with vascularized lymph node transfer for lymphedema treatment: Technique, outcomes, indications and review of literature vol.115, pp.1, 2012, https://doi.org/10.1002/jso.24347
  4. Intratissue lymphovenous communications in the mechanism of action of vascularized lymph node transfer vol.115, pp.1, 2012, https://doi.org/10.1002/jso.24413
  5. Method of breast reconstruction and the development of lymphoedema vol.104, pp.3, 2012, https://doi.org/10.1002/bjs.10397
  6. Outcomes of Lymphedema Microsurgery for Breast Cancer-related Lymphedema With or Without Microvascular Breast Reconstruction vol.268, pp.6, 2012, https://doi.org/10.1097/sla.0000000000002322
  7. Giant congenital melanocytic nevus of the upper extremity: Coverage with a pre-expanded pedicled thoracodorsal artery perforator flap and re-expanded transferred flap vol.26, pp.1, 2012, https://doi.org/10.14730/aaps.2019.01956
  8. Patient-specific surgical options for breast cancer-related lymphedema: technical tips vol.48, pp.3, 2021, https://doi.org/10.5999/aps.2020.02432