title: [A case of breast reconstruction surgery using flap of latissimus dorsi after neoadjuvant chemotherapy].
abstract: We performed breast reconstruction surgery with mastectomy after neoadjuvant chemotherapy(NAC)for a patient with NAC indication desiring breast conservation. The case was a 34-year-old single woman. In March, 2007, she was aware of a lump in her left breast and visited our hospital. The diagnosis was solid-tubular carcinoma 3 cm in diameter from close examination. We performed preoperative chemotherapy with EC(epirubicin 90 mg/m(2), cyclophosphamide 600 mg/m(2))x4, followed by 3w-paclitaxel 175 mg/m(2)x4, and then performed mastectomy with axillary dissection and breast reconstruction surgery using the flap of latissimus dorsi at the same time. Pathologically, pCR was provided. We thought that there are many advantages to both treatment of breast cancer and the cosmetic characteristics. The patient was very satisfied. But further cumulative examinations are awaited because there is not much evidence at present.
authors.affiliation: Dept. of Surgery, Nagoya Daini Red Cross Hospital.
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Kurumiya
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Hasegawa
authors.forename: Takashi
authors.initials: T
authors.lastname: Shiroko
authors.forename: Eiji
authors.initials: E
authors.lastname: Sakamoto
authors.forename: Shunichiro
authors.initials: S
authors.lastname: Komatsu
authors.forename: Shinji
authors.initials: S
authors.lastname: Norimizu
authors.forename: Tomotake
authors.initials: T
authors.lastname: Tabata
authors.forename: Seiji
authors.initials: S
authors.lastname: Natsume
authors.forename: Taro
authors.initials: T
authors.lastname: Aoba
authors.forename: Tomonori
authors.initials: T
authors.lastname: Tsuchiya
authors.forename: Naoki
authors.initials: N
authors.lastname: Matsumoto
authors.forename: Nobuaki
authors.initials: N
authors.lastname: Hoshino
authors.forename: Keisuke
authors.initials: K
authors.lastname: Yoshino
authors.forename: Masataka
authors.initials: M
authors.lastname: Okuno
authors.forename: Wataru
authors.initials: W
authors.lastname: Hidaka
authors.forename: Tadahiro
authors.initials: T
authors.lastname: Kamiya
mesh_terms: D000328:Adult; D001706:Biopsy; D001943:Breast Neoplasms / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D020360:Neoadjuvant Therapy; D011859:Radiography; D013524:Surgical Flaps