Proximal Variation of the Long Thoracic Nerve would be Vulnerable to Injury during an Axillary Dissection
Journal of the Korean Surgical Society
;
: 488-490, 2007.
Artigo
em Coreano
| WPRIM
| ID: wpr-47761
ABSTRACT
Herein, our experience of a rare variation of the long thoracic nerve during an axillary dissection in a female patient with a breast ductal carcinoma in situ (DCIS) is reported. Her long thoracic nerve was duplicated and united at its proximal and distal parts, respectively. She was a 45-year old female, with microcalcification on her left breast, which had been diagnosed as a DCIS by a stereotactic core needle biopsy. Due to the diffuse distribution of lesions, a mastectomy was performed, with immediate reconstruction using a transverse rectus abdominis muscle (TRAM) free flap. After the mastectomy, an axillary dissection was performed for anastomoses of the free flap to the thoracodorsal vessels, at which point the duplicated variation of the proximal part of the long thoracic nerve was found. This variation is very rare, and would be vulnerable to injury during an axillary dissection. Therefore, surgeons should take care to avoid injury to such a nerve during axillary surgery.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Axila
/
Nervos Torácicos
/
Mama
/
Neoplasias da Mama
/
Reto do Abdome
/
Carcinoma Intraductal não Infiltrante
/
Retalhos de Tecido Biológico
/
Biópsia com Agulha de Grande Calibre
/
Mastectomia
Limite:
Feminino
/
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Surgical Society
Ano de publicação:
2007
Tipo de documento:
Artigo
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