[Desmoid tumour around the DIEP anastomosis - a rare complication after breast reconstruction].
Abdominal desmoid tumors are so called non-metastatic tumors. They occur by proliferation of fibroblasts of muscle, fascia or aponeuroses. After breast reconstruction with a DIEP flap (Deep Inferior epigastric Artery Perforator Flap), a progressive growth of a desmoid tumor was seen around the DIEP-anastomosis. A total excision was not possible without compromising the vascular pedicle. With taking into account a recurrence rate up to 65% another operation is probably necessary. In this case the main vessels of the graft have to be cut out and a necrosis of the flap can or may appear.
Klinik für Plastische Chirurgie, Agaplesion Diakonieklinikum Hamburg gGmbH, Hamburg.
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Cromme
Klinik für Plastische Chirurgie, Agaplesion Diakonieklinikum Hamburg gGmbH, Hamburg.
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Brüner
Klinik für Plastische Chirurgie, Agaplesion Diakonieklinikum Hamburg gGmbH, Hamburg.
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Wittig
Klinik für Plastische Chirurgie, Agaplesion Diakonieklinikum Hamburg gGmbH, Hamburg.
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Grzybowski
D000714:Anastomosis, Surgical; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000601:surgery*; D019074:Epigastric Arteries / Q000601:surgery*; D005260:Female; D005350:Fibroma / Q000175:diagnosis*; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D016462:Mammaplasty; D008327:Mammography; D015412:Mastectomy, Segmental; D008875:Middle Aged; D061525:Perforator Flap / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis*