Lipofilling in skin affected by radiodermatitis: clinical and ultrasound aspects. Case report

Costantino, A. and Fioramonti, Paolo and Ciotti, Mariangela and Onesti, Maria Giuseppina (2012) Lipofilling in skin affected by radiodermatitis: clinical and ultrasound aspects. Case report. Il giornale di chirurgia, 33 (5). pp. 186-190. ISSN 1971-145X

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In recent years, lipofilling has established itself as one of the most effective and least invasive techniques to treat connective dystrophy subsequent to radiotherapy. We report the case of a patient diagnosed with intraductal carcinoma of the right breast in 1996, at the age of 41. The patient underwent quadrantectomy with ipsilateral axillary lymph node dissection and adjuvant chemotherapy and radiotherapy. Four years later, a recurrence led the patient to undergo a subcutaneous mastectomy and immediate reconstruction, involving the submuscular insertion of a permanent implant. In 2007 the patient suffered both radiodermatitis and capsular contracture around the implant, causing constant pain and significant functional limitation. She first took a leukotriene inhibitor (Zafirlukast, 20 mg daily for 8 months) to reduce the capsular contracture. She then underwent lipofilling (Coleman’s technique) of the area affected by radiodermatitis, in which the skin was considerably thinned and visibly ischemic. A second session followed four months later. Clinical, photographic and ultrasound examination revealed clear and lasting thickening of the superficial tissues, increased coverage of the implant, and reduced skin discoloration and tension.

Item Type: Article
Uncontrolled Keywords: Breast - Cancer - Reconstruction - Radiodermatitis - Lipofilling
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia
Depositing User: Nadia Del Gobbo
Date Deposited: 16 Jun 2016 10:42
Last Modified: 16 Jun 2016 10:42

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