HIDRADENITIS SUPPURATIVA
SURGICAL TREATMENT WITH LATISSIMUS DORSI MUSCLE FLAP
Keywords:
breast reconstruction, breast cancer, armpit, hidradenitisAbstract
The authors present a case report of a 53-year-old female patient who was admitted to the mastology and breast reconstruction sector, at Barretos Cancer Hospital, in 2018, to treat an invasive ductal carcinoma in the right breast. At admission, the patient complained of hidradenitis in the armpits and groin area, with no previous success with clinical or surgical treatment. Hidradenitis is a disease in which there is chronic inflammation of the apocrine glands. With this in mind, an extensive resection of the armpit lesion was performed, and the same right armpit incision was utilized for the sectionectomy and radiopharmaceutical-guided sentinel lymph node biopsy. As for the armpit reconstruction, a bilateral latissimus dorsi flap was used, resulting in an improvement of the patient’s quality of life. With this case report, the authors demonstrate that a breast reconstruction technique could be used to treat a disease that so far had no surgical solution that would not result in confining anatomic consequences for the patient.
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Wollina U, Koch A, Heinig B, Kittner T, Nowak A. Acne inversa (Hidradenitis suppurativa): A review with a focus on pathogenesis and treatment. Indian Dermatol Online J. 2013;4(1):2-11. https://doi.org/10.4103/2229-5178.105454
Muzy G, Crocco EI, Alves RO. Hidradenite supurativa: atualizacao e revisao de suas modalidades terapeuticas. J Surg Cosmet Dermatol. 2014;6(3):206-12.
Zarchi K, Dufour DN, Jemec GBE. Successful Treatment of Severe Hidradenitis Supurativa With Anakinra. JAMA Dermatol. 2013;149(10):1192-4. https://doi.org/10.1001/jamadermatol.2013.5377
Alhusayen R, Shear NH. Pharmacologic interventions for hidradenites suppurativa: what does the evidence say? Am J Clin Dermatol. 2012;13(5):283-91. https://doi.org/10.2165/11631880-000000000-00000
Mendes RRS, Zatz RF, Modolin MLA, Busnardo FF, Gemperli R. Radical resection and local coverage of hidradenitis suppurativa - acne inversa: analysis of results. Rev Col Bras Cir. 2018;45(3):e1719. http://dx.doi.org/10.1590/0100-6991e-20181719
Lamartine JD, Galdino Junior J, Dahe JC, Guimaraes GS, Camara Filho JPP, Borgatto MS, et al. Reconstrucao mamaria com retalho do musculo grande dorsal e materiais aloplasticos: analise de resultados e proposta de nova tatica para cobertura do implante. Rev Bras Cir Plast. 2012;27(1). http://dx.doi.org/10.1590/S1983-51752012000100010
Matthes GZ, Vieira RAC. Oncoplastia Mamaria Aplicada. Sao Paulo: Lemar; 2013.
Matusiak L, Bieniek A, Szepietowski JC. Psychophysical aspects of hidradenitis suppurativa. Acta Derm Venereol. 2010;90(3):264. https://doi.org/10.2340/00015555-0866
Onderdijk AJ, van der Zee HH, Esmann S, Lophaven S, Dufour DN, Jemec GB, et al. Depression in patients with hidradenitis suppurativa. J Eur Acad Dermatol Venereol. 2013;27(4):473-8. https://doi.org/10.1111/j.1468-3083.2012.04468.x
Napolitano M, Megna M, Timoshchuk EA, Patruno C, Balato N, Fabbrocini G, et al. Hidradenitis Suppurativa: from pathogenesis to diagnosis and treatment. Clin Cosmet Invest Dermatol. 2017;10:105-15. https://doi.org/10.2147/CCID.S111019
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Copyright (c) 2019 Laurinda Castellani, Jessica Ponte Portella, Gustavo Zucca Matthes
This work is licensed under a Creative Commons Attribution 4.0 International License.
