[Usefulness of immediate reconstruction after mastectomy for inflammatory breast cancer with muscle cutaneous flap].
CASE 1: A 59-year-old female patient with left inflammatory breast cancer (HER2 type) T4N1M0, stage III B. Although a partial response (PR) was observed after chemotherapy, an increase of the tumor was confirmed, and thus she underwent pectoralis-conserving mastectomy and immediate reconstruction with a rectus abdominis flap. After the surgery, the patient continued to undergo radiotherapy and administration of trastuzumab. At present, after 1 year and 3 months, she is alive with no recurrence. CASE 2: A 67-year-old female patient with left inflammatory breast cancer (triple negative) T4N2M0, stage III B. Since a variety of chemotherapeutics were ineffective, she underwent mastectomy with pectoralis resection and immediate reconstruction with a rectus abdominis flap to control pain/bleeding caused by the increased tumor. Although radiotherapy and chemotherapy were performed after the surgery, lung and hepatic metastases were developed 6 months after the surgery, and she died in the 10th month after the surgery.


CONCLUSIONS
In mastectomy for inflammatory breast cancer, an immediate reconstruction with a muscle cutaneous flap enabled unhesitating mastectomy in a wide area, and thus we consider this will be a useful technique.
Dept. of Surgical Oncology, Osaka City University Graduate School of Medicine.
Naoki
N
Aomatsu
Hidemi
H
Kawajiri
Tsutomu
T
Takashima
Tamami
T
Morisaki
Toshiki
T
Hirakawa
Tatsunari
T
Fukuoka
Shinichiro
S
Kashiwagi
Masanori
M
Nakamura
Naoyoshi
N
Onoda
Tetsuro
T
Ishikawa
Kosei
K
Hirakawa
D000368:Aged; D005260:Female; D006801:Humans; D058922:Inflammatory Breast Neoplasms / Q000473:pathology / Q000601:surgery*; D008408:Mastectomy; D008875:Middle Aged; D009367:Neoplasm Staging; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps