title: Cancer recurrence involving a TRAM flap and abdominal donor site following mastectomy and immediate breast reconstruction: a case report.
abstract: Local tumor recurrence after mastectomy with immediate reconstruction is rare. Most reported recurrences involve invasive or in situ ductal carcinoma and occur at the skin or subcutaneous tissues near the mastectomy site. We report a case of a patient with malignant phyllodes tumor that recurred after mastectomy with immediate pedicle transverse rectus abdominis myocutaneous flap reconstruction. The recurrent disease involved the mastectomy bed, transverse rectus abdominis myocutaneous flap, abdominal donor site, and precostal tunnel.
authors.affiliation: University of Kentucky College of Medicine, Lexington, KY 40536, USA.
authors.forename: Edward M
authors.initials: EM
authors.lastname: Kobraei
authors.forename: Daniel E
authors.initials: DE
authors.lastname: Kenady
authors.forename: W Bryan
authors.initials: WB
authors.lastname: Rogers
authors.forename: Brian D
authors.initials: BD
authors.lastname: Rinker
mesh_terms: D000328:Adult; D001707:Biopsy, Needle; D001943:Breast Neoplasms / Q000473:pathology / Q000601:surgery*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000009:adverse effects; D008408:Mastectomy / Q000009:adverse effects*; D009364:Neoplasm Recurrence, Local / Q000209:etiology* / Q000601:surgery*; D003557:Phyllodes Tumor / Q000473:pathology / Q000556:secondary* / Q000601:surgery*; D013524:Surgical Flaps / Q000009:adverse effects*; D060053:Transplant Donor Site