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Research ArticleClinical Studies

Surgical Resection With Pedicled Rotation Flap for Post-mastectomy Locoregional Breast Cancer Recurrence

YOSHIAKI SHINDEN, AYAKO NAGATA, YUKI NOMOTO, HAZUKI SAHO, AKIHIRO NAKAJO, KOJI MINAMI, TETSUHIRO OWAKI, TAKAO OHTSUKA and YUKO KIJIMA
Anticancer Research October 2020, 40 (10) 5739-5742; DOI: https://doi.org/10.21873/anticanres.14589
YOSHIAKI SHINDEN
1Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan
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  • For correspondence: yoshinden@gmail.com
AYAKO NAGATA
1Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan
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YUKI NOMOTO
1Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan
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HAZUKI SAHO
1Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan
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AKIHIRO NAKAJO
1Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan
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KOJI MINAMI
1Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan
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TETSUHIRO OWAKI
2Department of Community-based Medicine Education Center for Doctors in Remote Island and Rural Areas, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan
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TAKAO OHTSUKA
1Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan
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YUKO KIJIMA
3Department of Breast Surgery, School of Medicine, Fujita Health University, Toyoake, Japan
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Abstract

Background/Aim: Locoregional recurrence (LRR) of breast cancer is reported to occur at a rate of 5%-15%. Wide excision of LRR is the recommended treatment, which can increase the probability of subsequent local control. Herein, we describe a surgical technique wherein a pedicled skin and subcutaneous flap close the skin defect after resection of a breast cancer LRR without use of a skin graft. Patients and Methods: We reviewed four patients who underwent surgical resection using a pedicled rotation flap for chest wall recurrence after mastectomy. Results: The surgical margin was set 2 cm apart from the tumor margin. After resection of tumor from the chest wall, we formed an adjacent pedicled flap and rotated the flap to the skin defect. There were no post-operative complications, including wound necrosis. Conclusion: Surgical resection with a pedicled rotation flap for post-mastectomy breast cancer LRR is a highly feasible way to achieve complete resection.

  • Pedicled rotation flap
  • locoregional recurrence
  • breast cancer
  • Received June 27, 2020.
  • Revision received July 18, 2020.
  • Accepted July 20, 2020.
  • Copyright© 2020, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved
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Anticancer Research: 40 (10)
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October 2020
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Surgical Resection With Pedicled Rotation Flap for Post-mastectomy Locoregional Breast Cancer Recurrence
YOSHIAKI SHINDEN, AYAKO NAGATA, YUKI NOMOTO, HAZUKI SAHO, AKIHIRO NAKAJO, KOJI MINAMI, TETSUHIRO OWAKI, TAKAO OHTSUKA, YUKO KIJIMA
Anticancer Research Oct 2020, 40 (10) 5739-5742; DOI: 10.21873/anticanres.14589

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Surgical Resection With Pedicled Rotation Flap for Post-mastectomy Locoregional Breast Cancer Recurrence
YOSHIAKI SHINDEN, AYAKO NAGATA, YUKI NOMOTO, HAZUKI SAHO, AKIHIRO NAKAJO, KOJI MINAMI, TETSUHIRO OWAKI, TAKAO OHTSUKA, YUKO KIJIMA
Anticancer Research Oct 2020, 40 (10) 5739-5742; DOI: 10.21873/anticanres.14589
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Keywords

  • Pedicled rotation flap
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