Immediate one-stage breast reconstruction for an 85-year-old breast cancer patient using deep inferior epigastric perforator flap surgery

Koshi Matsui; Toshihiko Satake; Misato Araki; Emi Kanaya; Takamichi Igarashi; Maki Okamoto; TakeshiMiwa; Katsuhisa Hirano; Toru Watanabe; Shinichi Sekine; Kazuto Shibuya; Isaya Hashimoto; Shozo Hojo; Isaku Yoshioka; Tomoyuki Okumura; Tsutomu Fujii

doi:10.1093/jscr/rjab241

Immediate one-stage breast reconstruction for an 85-year-old breast cancer patient using deep inferior epigastric perforator flap surgery

Koshi Matsui, Toshihiko Satake, Misato Araki, Emi Kanaya, Takamichi Igarashi, Maki Okamoto, TakeshiMiwa, Katsuhisa Hirano, Toru Watanabe, Shinichi Sekine, Kazuto Shibuya, Isaya Hashimoto, Shozo Hojo, Isaku Yoshioka, Tomoyuki Okumura, Tsutomu Fujii^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

2 Scopus citations

Abstract

The deep inferior epigastric perforator (DIEP) flap is widely recognized as safe for use as a first-choice option in autologous tissue breast reconstruction; however, DIEP is often not performed for breast reconstruction in the elderly. We report a case of an 85-year-old woman who underwent DIEP flap reconstruction. Immediate reconstruction was performed after mastectomy. The patient successfully underwent DIEP flap reconstruction with no complications. Other options for reconstruction include a latissimus dorsi flap, a transverse rectus abdominis flap and implant-based reconstruction. DIEP flap reconstruction was performed, which does not cause muscle damage and provides sufficient volume. To our knowledge, this study is the first to report DIEP breast reconstruction in a patient over 85 years of age. This case demonstrates the usefulness of DIEP flap reconstruction for elderly patients.

Original language	English
Article number	rjab241
Journal	Journal of Surgical Case Reports
Volume	2021
Issue number	7
DOIs	https://doi.org/10.1093/jscr/rjab241
State	Published - 2021/07/01

ASJC Scopus subject areas

Surgery

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This output contributes to the following UN Sustainable Development Goals (SDGs)

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Matsui, K., Satake, T., Araki, M., Kanaya, E., Igarashi, T., Okamoto, M., TakeshiMiwa, Hirano, K., Watanabe, T., Sekine, S., Shibuya, K., Hashimoto, I., Hojo, S., Yoshioka, I., Okumura, T., & Fujii, T. (2021). Immediate one-stage breast reconstruction for an 85-year-old breast cancer patient using deep inferior epigastric perforator flap surgery. Journal of Surgical Case Reports, 2021(7), Article rjab241. https://doi.org/10.1093/jscr/rjab241

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title = "Immediate one-stage breast reconstruction for an 85-year-old breast cancer patient using deep inferior epigastric perforator flap surgery",

abstract = "The deep inferior epigastric perforator (DIEP) flap is widely recognized as safe for use as a first-choice option in autologous tissue breast reconstruction; however, DIEP is often not performed for breast reconstruction in the elderly. We report a case of an 85-year-old woman who underwent DIEP flap reconstruction. Immediate reconstruction was performed after mastectomy. The patient successfully underwent DIEP flap reconstruction with no complications. Other options for reconstruction include a latissimus dorsi flap, a transverse rectus abdominis flap and implant-based reconstruction. DIEP flap reconstruction was performed, which does not cause muscle damage and provides sufficient volume. To our knowledge, this study is the first to report DIEP breast reconstruction in a patient over 85 years of age. This case demonstrates the usefulness of DIEP flap reconstruction for elderly patients.",

author = "Koshi Matsui and Toshihiko Satake and Misato Araki and Emi Kanaya and Takamichi Igarashi and Maki Okamoto and TakeshiMiwa and Katsuhisa Hirano and Toru Watanabe and Shinichi Sekine and Kazuto Shibuya and Isaya Hashimoto and Shozo Hojo and Isaku Yoshioka and Tomoyuki Okumura and Tsutomu Fujii",

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doi = "10.1093/jscr/rjab241",

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Matsui, K , Satake, T, Araki, M, Kanaya, E, Igarashi, T, Okamoto, M, TakeshiMiwa, , Hirano, K , Watanabe, T , Sekine, S , Shibuya, K , Hashimoto, I, Hojo, S, Yoshioka, I , Okumura, T & Fujii, T 2021, 'Immediate one-stage breast reconstruction for an 85-year-old breast cancer patient using deep inferior epigastric perforator flap surgery', Journal of Surgical Case Reports, vol. 2021, no. 7, rjab241. https://doi.org/10.1093/jscr/rjab241

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T1 - Immediate one-stage breast reconstruction for an 85-year-old breast cancer patient using deep inferior epigastric perforator flap surgery

AU - Matsui, Koshi

AU - Satake, Toshihiko

AU - Araki, Misato

AU - Kanaya, Emi

AU - Igarashi, Takamichi

AU - Okamoto, Maki

AU - TakeshiMiwa,

AU - Hirano, Katsuhisa

AU - Watanabe, Toru

AU - Sekine, Shinichi

AU - Shibuya, Kazuto

AU - Hashimoto, Isaya

AU - Hojo, Shozo

AU - Yoshioka, Isaku

AU - Okumura, Tomoyuki

AU - Fujii, Tsutomu

PY - 2021/7/1

Y1 - 2021/7/1

N2 - The deep inferior epigastric perforator (DIEP) flap is widely recognized as safe for use as a first-choice option in autologous tissue breast reconstruction; however, DIEP is often not performed for breast reconstruction in the elderly. We report a case of an 85-year-old woman who underwent DIEP flap reconstruction. Immediate reconstruction was performed after mastectomy. The patient successfully underwent DIEP flap reconstruction with no complications. Other options for reconstruction include a latissimus dorsi flap, a transverse rectus abdominis flap and implant-based reconstruction. DIEP flap reconstruction was performed, which does not cause muscle damage and provides sufficient volume. To our knowledge, this study is the first to report DIEP breast reconstruction in a patient over 85 years of age. This case demonstrates the usefulness of DIEP flap reconstruction for elderly patients.

AB - The deep inferior epigastric perforator (DIEP) flap is widely recognized as safe for use as a first-choice option in autologous tissue breast reconstruction; however, DIEP is often not performed for breast reconstruction in the elderly. We report a case of an 85-year-old woman who underwent DIEP flap reconstruction. Immediate reconstruction was performed after mastectomy. The patient successfully underwent DIEP flap reconstruction with no complications. Other options for reconstruction include a latissimus dorsi flap, a transverse rectus abdominis flap and implant-based reconstruction. DIEP flap reconstruction was performed, which does not cause muscle damage and provides sufficient volume. To our knowledge, this study is the first to report DIEP breast reconstruction in a patient over 85 years of age. This case demonstrates the usefulness of DIEP flap reconstruction for elderly patients.

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DO - 10.1093/jscr/rjab241

M3 - 学術論文

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SN - 2042-8812

VL - 2021

JO - Journal of Surgical Case Reports

JF - Journal of Surgical Case Reports

IS - 7

M1 - rjab241

ER -

Immediate one-stage breast reconstruction for an 85-year-old breast cancer patient using deep inferior epigastric perforator flap surgery

Abstract

ASJC Scopus subject areas

UN SDGs

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