[Extra-abdominal desmoid tumor in a scar of donor-site of a latissimus dorsi flap: case report].
Tumefaction arising lately after latissimus dorsi flap harvest are rare and observed in 1 or 2% of the cases. These lesions are frequently related to kystic sero-hematoma and are easily and efficiently treated with surgical excision. In some rare circumstances, a tumoral evolution can mimic a kystic sero-hematoma. We will discuss one case of desmoid tumor arising from a latissimus dorsi flap donor-site scar. The subject was a 45 years old woman who had a breast reconstruction following mastectomy. A dorsal tumefaction, with a benign aspect, was observed during the follow-up period. The biopsy showed an extra-abdominal desmoid tumor. The patient was treated with a large excision of the lesion and reconstructed using two opposing local cutaneous advancing flaps. No radicalization was necessary. No sign of recurrence has been observed at 4 years follow-up.
Paradol
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PO
Unité de Chirurgie Plastique et Reconstructrice, Centre Léon-Bérard, 28, rue Laënnec, 69008 Lyon, France. pop.paradol@wanadoo.fr
Toussoun
G
G
Delbaere
M
M
Delaporte
T
T
Delay
E
E
D001415:Back; D002921:Cicatrix / Q000150:complications* / Q000473:pathology; D005260:Female; D018222:Desmoid Tumors / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D016462:Mammaplasty / Q000009:adverse effects*; D008408:Mastectomy; D008875:Middle Aged; D012086:Reoperation; D012878:Skin Neoplasms / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D013524:Surgical Flaps / Q000009:adverse effects*; D013997:Time Factors