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The Desmoid Tumor Research Foundation

March 2017

Giant desmoid tumour of the thorax following latissimus dorsi and implant breast reconstruction: case report and review of the literature

Author Information

Collins AM(1), Granahan AM(1), Healy DG(2)(3), Lawlor CA(1), O'Neill SP(1)

(1)Department of Plastic Surgery, St. Vincent's University Hospital, Dublin.(2)Department of Radiology, AMNCH, Tallaght, Dublin 24.(3)Department of Cardiothoracic Surgery, Mater Misericordiae University Hospital, Dublin.

Publication

Ir Med J

Summary

The case of a giant thoracic desmoid tumour in a 44-year-old woman, who presented two years following a breast reconstruction with a latissimus dorsi (LD) flap and implant, is reported. Clinical findings included a rapidly growing, painless mass. Computed tomography (CT) suggested skin and intercostal soft tissue invasion. The tumour was resected en bloc with the LD muscle, implant capsule and underlying rib segments. The resultant thoracic and abdominal wall defects were reconstructed with Dualmesh and polypropylene meshes respectively. There was no evidence of recurrence at thirty-six months follow-up.

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