Deltopectoral flap for reconstruction of male breast after radical mastectomy for cancer in a patient on hemodialysis.
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.
Nakao
Atsunori
A
Department of Surgery I, Okayama University Medical School, Okayama, Japan. anakao@imap.pitt.edu
Saito
Shinya
S
Naomoto
Yoshio
Y
Matsuoka
Junji
J
Tanaka
Noriaki
N
D018567:Breast Neoplasms, Male / Q000150:complications / Q000601:surgery*; D003928:Diabetic Nephropathies / Q000150:complications / Q000628:therapy*; D006801:Humans; D008297:Male; D015409:Mastectomy, Radical; D008875:Middle Aged; D006435:Renal Dialysis; D013524:Surgical Flaps; D013997:Time Factors; D016896:Treatment Outcome