Desmoid Tumour around the DIEP Anastomosis - A Rare Complication after Breast Reconstruction

作者：Cromme F^*; Bruener S; Wittig K S; Grzybowski S

来源：Handchirurgie Mikrochirurgie Plastische Chirurgie, 2014, 46(2): 116-120.

DOI：10.1055/s-0033-1351330

• desmoid tumour
• breast reconstruction
• free flap loss
• DIEP flap
• vascular microanastomosis
• Mammarekonstruktion
• Gefa ss anastomose
• DIEP Lappenplastik
• Desmoidtumor
• Verlust freier Lappen

Abdominal desmoid tumors are so called non-metastatic tumors. They occur by proliferation of fibroblasts of muscle, fascia or aponeuroses. After breast reconstruction with a DIEP flap (Deep Inferior epigastric Artery Perforator Flap), a progressive growth of a desmoid tumor was seen around the DIEP-anastomosis. A total excision was not possible without compromising the vascular pedicle. With taking into account a recurrence rate up to 65% another operation is probably necessary. In this case the main vessels of the graft have to be cut out and a necrosis of the flap can or may appear.

• 出版日期2014-4