Reconstruction (& Hemodialysis)

Anticancer Res 2002 Jul-Aug;22(4):2477-9

Deltopectoral flap for reconstruction of male breast after radical mastectomy for cancer in a patient on hemodialysis.

Nakao A, Saito S, Naomoto Y, Matsuoka J, Tanaka N Department of Surgery I, Okayama University Medical School, Okayama, Japan. anakao@imap.pitt.edu

A rare case of advanced male breast cancer in a patient on hemodialysis was successfully treated with radical mastectomy and chemotherapy. Computed tomography of the chest revealed multiple pulmonary metastases.

After administration of chemotherapy consisting of 5-fluorouracil (4000 mg) and epirubicin (280 mg), the pulmonary metastases disappeared and this was associated with a decrease of serum CEA levels and tumor size. Radical mastectomy and reconstruction for the chest wall defect using a deltopectoral flap (DP flap) were performed.

Histopathological examination of the resected specimen showed intraductal adenocarcinoma with nodal metastases.

The patient has remained well without clinical recurrence of distant metastasis for a follow-up period of two years.

Our experience has demonstrated that the DP flap was a feasible approach in male breast reconstruction despite the debilitated condition of the patient.

Anticancer Res 2002 Jul-Aug;22(4):2477-9

PMID: 12174947, UI: 22164527

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