有茎 posterior arm flap による腋窩部腫瘍切除後再建の 1 症例

抄録

A sixty-four-year-old female presented with a one year history of a gradually enlarging left axillary mass. She underwent breast-conserving surgery and radiation therapy for breast cancer twenty years ago. She was diagnosed with radiation induced sarcoma and tumor resection was planned. We reconstructed the axillary defect with the pedicled posterior arm flap ( PAF ). The donor site was closed and there were no postoperative complications. The Musculoskeletal Tumor Society ( MSTS ) rating scale was 27 out of 30 points. The PAF has been widely used since its original description by Masquelet et al, in 1985. The pedicled variant of the PAF is also a versatile fasciocutaneous flap that is suitable for axillary reconstruction in patients with hidradenitis suppurativa. However, there are few reports of the PAF for reconstruction after wide resection of axillary tumors. In this article, we report pedicled PAF for axillary soft tissue defects after wide resection of radiation-induced sarcoma from breast cancer.