Treatment of Necrotic Infection on the Anterior Chest Wall Secondary to Mastectomy and Postoperative Radiotherapy by the Application of Omentum and Mesh Skin Grafting: Report of a Case |
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Authors: | Masaaki Sato Fumihiro Tanaka Hiromi Wada |
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Institution: | (1) Division of Respiratory Disease, Matsue Red Cross Hospital, Horomachi 200, Matsue, Shimane 690-0886, Japan, JP;(2) Department of Thoracic Surgery, Kyoto University Hospital, 54 Shogoin Kawaracho, Sakyo-ku, Kyoto 606-8397, Japan, JP |
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Abstract: | We report herein the case of a patient who initially underwent right radical mastectomy for breast carcinoma in 1988, followed
by left breast-conserving surgery in 1997. On both occasions she was given postoperative radiation therapy of 50 Gy. Repeated
dressings and the administration of antibiotics failed to heal ulcerative infected lesions that had formed on the anterior
chest wall in early 1998. In 1999, the sternum and surrounding tissue were debrided and the anterior chest wall was reconstructed
by omentum transposition and mesh skin grafting. The patient is currently well and alive without any evidence of recurrence
of either infection or breast cancer.
Received: March 7, 2001 / Accepted: September 11, 2001 |
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Keywords: | Radiation necrosis Omentum transposition Mesh skin grafting |
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