title: [DIEP flap reconstruction after palliative curettage mastectomy in locally advanced breast cancer].
abstract: BACKGROUND
  Curettage mastectomy is indicated as a palliative treatment in locally advanced breast cancer. We present our experience with the use of a DIEP flap reconstruction following extensive mastectomy.
  
  
  METHODS
  We report the case of a patient with very advanced local breast cancer that was subsidiary to aggressive palliative surgery after chemotherapy.
  
  
  RESULTS
  It was considered that the closure that could be performed with the latissimus dorsi muscle was unsuitable, therefore a DIEP flap was performed. The patient was discharged uneventfully.
  
  
  CONCLUSIONS
  The DIEP reconstruction offers great cutaneous extension. It can be a resource in highly selected cases of locally advanced breast cancer in which surgery becomes the main treatment.
authors: Departamento de Cirugía General, Clínica Universidad de Navarra, Pamplona. jarredon@unav.es
authors: J
authors: J
authors: Arredondo
authors: N
authors: N
authors: Rodríguez-Spiteri
authors: W
authors: W
authors: Torre
authors: C
authors: C
authors: Aubá
authors: N
authors: N
authors: Pedano
authors: F M
authors: FM
authors: Regueira
mesh_terms: D001943:Breast Neoplasms / Q000473:pathology / Q000601:surgery*; D003475:Curettage; D019074:Epigastric Arteries; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D008875:Middle Aged; D009367:Neoplasm Staging; D010166:Palliative Care; D061525:Perforator Flap