Axillary lymph node recurrence in patients with breast cancer who underwent breast reconstruction using a latissimus dorsi flap after mastectomy

Oda,Goshi; Nakagawa,Tsuyoshi; Uemura,Noriko; Mori,Hiroki; Mori,Mio; Fujioka,Tomoyuki; Onishi,Iichiroh; Uetake,Hiroyuki

doi:10.3892/mco.2021.2211

Axillary lymph node recurrence in patients with breast cancer who underwent breast reconstruction using a latissimus dorsi flap after mastectomy

Authors:
- Goshi Oda
- Tsuyoshi Nakagawa
- Noriko Uemura
- Hiroki Mori
- Mio Mori
- Tomoyuki Fujioka
- Iichiroh Onishi
- Hiroyuki Uetake
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Affiliations: Department of Specialized Surgery, Tokyo Medical and Dental University, Graduate School of Medicine and Dentistry, Tokyo 113‑8519, Japan, Department of Plastic and Reconstructive Surgery, Tokyo Medical and Dental University, Graduate School of Medicine and Dentistry, Tokyo 113‑8519, Japan, Department of Radiology, Tokyo Medical and Dental University, Graduate School of Medicine and Dentistry, Tokyo 113‑8519, Japan, Department of Pathology, Tokyo Medical and Dental University, Graduate School of Medicine and Dentistry, Tokyo 113‑8519, Japan
Published online on: January 19, 2021 https://doi.org/10.3892/mco.2021.2211
Article Number: 49
Copyright: © Oda et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

At our institution (Tokyo Medical and Dental University, Medical Hospital), latissimus dorsi flap (LD flap) reconstruction without a prosthetic implant is a popular surgical strategy following total mastectomy in patients with breast cancer. The LD flap, especially the extended LD flap, is usually rotated anteriorly through the axilla. However, if future additional surgery is required for axillary recurrence after LD flap reconstruction, the flap interferes with the visual field, making the surgical procedure more difficult. Because cases of axillary lymph node recurrence alone are rare, to the best of our knowledge, no paper has reported in detail on the technique and course of lymph node recurrence after LD flap reconstruction. The present study describes two cases of successful axillary lymph node dissection without sacrificing the flap for breast cancer recurrence after LD flap reconstruction. A brief analysis of immediate breast reconstruction with an LD flap performed in patients with breast cancer at our institution is also reported.

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