Ulcerative-vegetative Locally AdvancedBreast Carcinoma Mimicking Flower Image

Vieira, René Aloísio da Costa; Oliveira‐Junior, Idam de

doi:10.29289/2594539420200079

Cited by 2 publications

(6 citation statements)

References 9 publications

(8 reference statements)

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“…An infection can result in a drastic condition. 6 Therefore, all these precautions were performed, and no postoperative infectious complication was observed.…”

Section: Discussionmentioning

confidence: 97%

“…Evaluation of ulcerative tumors' febrile events may be considered, and the surgeon must evaluate the pros and cons of primary resection without chemotherapy. 6 The patient presented initially with an unresectable ulcerated tumor. To increase the resectability of locally advanced breast cancer, patients are generally submitted to neoadjuvant therapy, allowing for tumor response and a decrease in the size of the resection, as observed in the present case.…”

Section: Discussionmentioning

confidence: 99%

“…Due to the presence of an ulcerated tumor, the surgical area was found to be infected; therefore, before surgery, a broad-spectrum antibiotic therapy with cefepime and clindamycin was instituted and the entire tumor was covered. 6 ( See figure 1, Supplemental Digital Content 1 , which displays transoperative findings: (a) lesion; (b) resected area; (c) Early postoperative. http://links.lww.com/PRSGO/B941.…”

Section: Case Presentationmentioning

confidence: 99%

“…Due to the presence of an ulcerated tumor, the surgical area was found to be infected; therefore, before surgery, a broad-spectrum antibiotic therapy with cefepime and clindamycin was instituted and the entire tumor was covered. 6 She was submitted to a modified radical mastectomy, with partial resection of the pectoralis major and serratus muscles, and despite an infiltrative lesion in the axilla, it was possible to preserve the thoracodorsal pedicle. Primary reconstruction was performed because the dimension of the defect area was 30 × 20 cm (SDC1b).…”

Section: Case Presentationmentioning

confidence: 99%

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Use of Double Myocutaneous Flap after Extended Resection of Locally Advanced Ulcerated Breast Carcinoma

Vieira

Oliveira²,

Ching

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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Summary: Locally advanced ulcerated breast neoplasm is a condition that frequently occurs in developing countries. Generally, it is centrally localized and submitted to neoadjuvant therapy; thereafter, upon disappearance of the ulceration, it is submitted to radical mastectomy. Presence of axillary infiltration and ulceration with incomplete response makes it necessary for the use of surgical flaps for skin closure. We report a case in which primary reconstructive surgical procedure and skin closure was necessary, where we used double myocutaneous flaps—the latissimus dorsi and VRAM (vertical rectus abdominis myocutaneous) flap. We discussed treatment of the ulcerated lesions, possible surgical solutions, and the conditions associated with the use of double flaps. For primary closure of extensive areas, double myocutaneous flaps can be used as a solution in cases where skin grafts or surgical microsurgical flaps are not able to serve as a surgical solution. Myocutaneous flaps are associated with lower rates of complication, allowing for rapid recovery without increasing the time necessary before the next adjuvant therapy.

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“…An infection can result in a drastic condition. 6 Therefore, all these precautions were performed, and no postoperative infectious complication was observed.…”

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Section: Case Presentationmentioning

confidence: 99%

“…Due to the presence of an ulcerated tumor, the surgical area was found to be infected; therefore, before surgery, a broad-spectrum antibiotic therapy with cefepime and clindamycin was instituted and the entire tumor was covered. 6 She was submitted to a modified radical mastectomy, with partial resection of the pectoralis major and serratus muscles, and despite an infiltrative lesion in the axilla, it was possible to preserve the thoracodorsal pedicle. Primary reconstruction was performed because the dimension of the defect area was 30 × 20 cm (SDC1b).…”

Section: Case Presentationmentioning

confidence: 99%

See 2 more Smart Citations

Use of Double Myocutaneous Flap after Extended Resection of Locally Advanced Ulcerated Breast Carcinoma

Vieira

Oliveira²,

Ching

et al. 2022

Plastic and Reconstructive Surgery - Global Open

Self Cite

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show abstract

“…The presence of ulceration is associated with an increased incidence of secondary infection, 25 and many patients will require chemotherapy to increase resectability. During surgery, caution should be taken to avoid infectious complications when resecting the lesion, such as covering the ulcerated area and providing prophylactic antibiotic therapy 26,27 …”

Section: Introductionmentioning

confidence: 99%

Surgical management of locally advanced breast cancer: Recommendations of the Brazilian Society of Surgical Oncology

Vieira

Andrade

Vieira

et al. 2022

Journal of Surgical Oncology

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The Brazilian Society of Surgical Oncology organized a group of oncological surgeons to discuss surgical aspects associated with locally advanced breast carcinoma. This article reviews the indications, different surgeries (thoracoabdominal or myocutaneous flaps), and associated complications. It discusses special conditions such as invasion of the chest wall and interscapular thoracic disarticulation. It makes recommendations based on the literature regarding clinical findings, tumor conditions, response to neoadjuvant therapy, choice of flaps in surgery, and tumor biology.

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Ulcerative-vegetative Locally AdvancedBreast Carcinoma Mimicking Flower Image

Cited by 2 publications

References 9 publications

Use of Double Myocutaneous Flap after Extended Resection of Locally Advanced Ulcerated Breast Carcinoma

Use of Double Myocutaneous Flap after Extended Resection of Locally Advanced Ulcerated Breast Carcinoma

Surgical management of locally advanced breast cancer: Recommendations of the Brazilian Society of Surgical Oncology

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