即刻修复一例乳房隆突样皮肤纤维肉瘤术后巨大缺损

Immediate reconstruction of large defect after resection of breast dermatofibrosarcoma protuberances:one case report

隆突样皮肤纤维肉瘤是一种交界恶性或潜在低度恶性的纤维组织细胞肿瘤,常好发于躯干,乳房皮肤较为罕见。中南大学湘雅第二医院对1例乳房隆突性纤维肉瘤患者行广泛局部切除术,同期采用帯蒂胸背动脉穿支皮瓣对软组织缺损进行即刻修复,取得较好效果。通过详细回顾该病例的诊疗过程以及对相关文献进行系统地复习,作者对乳房隆突样纤维肉瘤的诊断和治疗经验加以总结。

Dermatofibrosarcoma protuberances is a kind of borderline or potential low-grade fibrocytoma,which usually occurs in trunk and rarely in breast.One case of breast protuberans fibrosarcoma underwent wide resection,followed by immediate reconstruction with perforator flap pedicled by thoracodorsal artery.Satisfactory result was achieved.The whole process was recorded and the related articles were reviewed systemly.The diagnosis and treatment experience of protuberans fibrosarcoma were summarized.