Chest wall reconstruction in recurrent breast carcinoma – a case report

Abstract

IntroductionComplex chest wall reconstruction after an oncological resection requires a multidisciplinary approach with the aim of curative resection.AimThe complexity of such reconstruction is challenged by prior reconstructions that limit the options for free tissue transfer and recipient vessels for microsurgical anastomoses.Case studyWe present a case of an immunocompromised patient with prior breast reconstruction for left breast carcinoma with a pedicled lattisimus dorsi flap who presents with a recurrence to the latissimus dorsi flap requiring a more extensive oncological resection.Results and discussionThis resulted in a large chest wall defect that is reconstructed with plating and an anterolateral thigh fasciocutaneous free flap for soft tissue coverage.ConclusionsThe radical resection allows for excellent overall survival and better quality of life.