Thoracic Wall Reconstruction in Advanced Breast Tumours

Abstract

In advanced mammary tumours, extensive resections, sometimes involving sections of the thoracic wall, are often necessary. Plastic surgery reconstruction procedures offer sufficient opportunities to cover even large thoracic wall defects. Pedicled flaps from the torso but also free flap-plasties enable, through secure defect closure, the removal of large, ulcerated, painful or bleeding tumours with moderate donor site morbidity. The impact of thoracic wall resection on the respiratory mechanism can be easily compensated for and patientsʼ quality of life in the palliative stage of disease can often be improved.

Zusammenfassung

Bei fortgeschrittenen Tumoren der Mamma werden oft ausgedehnte Resektionen, teilweise unter Mitnahme von Anteilen der Thoraxwand, nötig. Plastisch-chirurgische Rekonstruktionsverfahren bieten suffiziente Möglichkeiten, auch große Thoraxwanddefekte zu decken. Gestielte Lappenplastiken vom Rumpf, aber auch freie Lappenplastiken ermöglichen durch einen sicheren Defektverschluss die Entfernung großer, ulzerierter, schmerzhafter oder blutender Tumoren mit moderater Hebemorbidität. Der Einfluss der Thoraxwandteilresektion auf die Atemmechanik ist gut kompensierbar, die Lebensqualität der Patienten im oft palliativen Stadium der Erkrankung kann verbessert werden.

Key words

deformities of the breast - breast - breast cancer - breast carcinoma

Schlüsselwörter

Fehlbildungen der Mamma - Mamma - Mammamalignom - Mammakarzinom

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