PDF(Pubmed)
Abstract：
Even though most local recurrences after autologous breast reconstruction occur in superficial tissue, they also occur in deep tissue in the reconstructed breast. A 49-year-old woman presented with a bloody discharge from the right nipple. Ultrasonography revealed a hypoechoic area in her right breast, which was diagnosed as ductal carcinoma in situ on histopathology. We performed nipple-sparing mastectomy and immediate reconstruction of the breast with a latissimus dorsi myocutaneous flap. At 6 years postoperatively, the patient presented with a palpable mass. Ultrasonography revealed a solid mass lesion subcutaneously in the right breast. Computed tomography revealed multiple enhanced solid mass lesions in the subcutaneous and deep tissues of the reconstructed breast. The mass in the deep tissue of the reconstructed breast was diagnosed as an invasive micropapillary carcinoma by biopsy. For local recurrence, we performed wide excision of the reconstructed breast. The masses in the subcutaneous and deep tissues of the reconstructed breast were diagnosed as invasive micropapillary carcinoma. Superficial recurrence was first detected by physical examination, and deep recurrence was later detected with further imaging. We present a case of local recurrences that occurred in the deep tissue, in addition to superficial tissue of the reconstructed breast.
摘要：
尽管自体乳房重建后大多数局部复发发生在浅表组织，它们也发生在重建乳房的深层组织中。一名49岁的妇女出现了右乳头流血的分泌物。超声检查显示她的右乳房有一个低回声区域，在组织病理学上被诊断为导管原位癌。我们进行了保留乳头的乳房切除术，并用背阔肌肌皮瓣进行了乳房重建。术后6年，患者出现明显的肿块。超声检查显示右乳房皮下有一个实体肿块。计算机断层扫描显示重建乳房的皮下和深层组织中有多个增强的固体肿块。通过活检将重建的乳房深部组织中的肿块诊断为浸润性微乳头状癌。对于局部复发，我们对再造乳房进行了广泛切除。重建乳腺的皮下和深部组织中的肿块被诊断为浸润性微乳头状癌。体格检查首先发现了表面复发，随后通过进一步的影像学检查发现了深部复发。我们提出了一个在深部组织发生的局部复发的案例，除了重建乳房的浅表组织。
