title: Immediate extended latissimus dorsi flap reconstruction after skin-sparing mastectomy for breast cancer associated with paraffinoma: report of a case.
abstract: Paraffin oil injection into the breast, which had been used for breast augmentation in the past, can cause various complications. Complete removal of paraffinoma lesions with immediate breast reconstruction using autogenous tissue is a very satisfactory treatment option. However, diffuse random distribution of paraffin oil through the subdermal layer makes it impossible to remove all of the lesions with overlying skin without resulting in a shortage of available skin and poor cosmesis. We herein report the case of a patient with breast cancer associated with paraffinoma, treated with skinsparing mastectomy and axillary node dissection with immediate extended latissimus dorsi flap reconstruction, resulting in good cosmetic outcome, and showing no complications during the wound-healing process.
authors.affiliation: Department of Surgery, Chungnam National University, 640 Daesadong, Jung-Ku, Daejeon, 301-721, Republic of Korea.
authors.forename: Jeryong
authors.initials: J
authors.lastname: Kim
authors.forename: Jinsun
authors.initials: J
authors.lastname: Lee
authors.forename: Eilsung
authors.initials: E
authors.lastname: Chang
authors.forename: Kwangsun
authors.initials: K
authors.lastname: Suh
mesh_terms: D001943:Breast Neoplasms / Q000139:chemically induced* / Q000601:surgery*; D002285:Carcinoma, Intraductal, Noninfiltrating / Q000139:chemically induced / Q000601:surgery; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D016462:Mammaplasty / Q000009:adverse effects*; D008408:Mastectomy; D008875:Middle Aged; D008899:Mineral Oil / Q000009:adverse effects; D009821:Oils / Q000009:adverse effects*; D010232:Paraffin / Q000009:adverse effects*; D013524:Surgical Flaps
chemical_list: D009821:Oils; D010232:Paraffin; C015418:paraffin oils; D008899:Mineral Oil