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Large Axillary Defect after Lymph Node Dissection Directly Closed by Suturing the Pectoralis Major to the Latissimus Dorsi

SUMMARY: In 2009, the Union for International Cancer Control defined lymph node (LN) metastasis ≥6 cm in diameter as stage 4 in squamous cell carcinoma of the skin. Lesions from such LNs become ulcerated and infected and bleed without treatment. A 67-year-old man suffered from skin cancer on his rig...

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Detalles Bibliográficos
Autores principales: Matsunaga, Jun, Konno, Takayuki, Suzuki, Tamio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4174168/
https://www.ncbi.nlm.nih.gov/pubmed/25289196
http://dx.doi.org/10.1097/GOX.0b013e31828c2430
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author Matsunaga, Jun
Konno, Takayuki
Suzuki, Tamio
author_facet Matsunaga, Jun
Konno, Takayuki
Suzuki, Tamio
author_sort Matsunaga, Jun
collection PubMed
description SUMMARY: In 2009, the Union for International Cancer Control defined lymph node (LN) metastasis ≥6 cm in diameter as stage 4 in squamous cell carcinoma of the skin. Lesions from such LNs become ulcerated and infected and bleed without treatment. A 67-year-old man suffered from skin cancer on his right back and a 7-cm-diameter LN metastasis. After axillary LN dissection, a large skin and soft tissue defect was apparent. To rectify the defect, we simply sutured the pectoralis major muscle to the latissimus dorsi muscle and covered the suture with a split-skin mesh graft. After the surgery, the range of motion of the upper limb on the side where surgery was performed remained in good condition.
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spelling pubmed-41741682014-10-06 Large Axillary Defect after Lymph Node Dissection Directly Closed by Suturing the Pectoralis Major to the Latissimus Dorsi Matsunaga, Jun Konno, Takayuki Suzuki, Tamio Plast Reconstr Surg Glob Open Case Reports SUMMARY: In 2009, the Union for International Cancer Control defined lymph node (LN) metastasis ≥6 cm in diameter as stage 4 in squamous cell carcinoma of the skin. Lesions from such LNs become ulcerated and infected and bleed without treatment. A 67-year-old man suffered from skin cancer on his right back and a 7-cm-diameter LN metastasis. After axillary LN dissection, a large skin and soft tissue defect was apparent. To rectify the defect, we simply sutured the pectoralis major muscle to the latissimus dorsi muscle and covered the suture with a split-skin mesh graft. After the surgery, the range of motion of the upper limb on the side where surgery was performed remained in good condition. Wolters Kluwer Health 2013-05-07 /pmc/articles/PMC4174168/ /pubmed/25289196 http://dx.doi.org/10.1097/GOX.0b013e31828c2430 Text en Copyright © 2013 American Society of Plastic Surgeons—Global Open http://creativecommons.org/licenses/by-nc-nd/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivitives 3.0 License, where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially.
spellingShingle Case Reports
Matsunaga, Jun
Konno, Takayuki
Suzuki, Tamio
Large Axillary Defect after Lymph Node Dissection Directly Closed by Suturing the Pectoralis Major to the Latissimus Dorsi
title Large Axillary Defect after Lymph Node Dissection Directly Closed by Suturing the Pectoralis Major to the Latissimus Dorsi
title_full Large Axillary Defect after Lymph Node Dissection Directly Closed by Suturing the Pectoralis Major to the Latissimus Dorsi
title_fullStr Large Axillary Defect after Lymph Node Dissection Directly Closed by Suturing the Pectoralis Major to the Latissimus Dorsi
title_full_unstemmed Large Axillary Defect after Lymph Node Dissection Directly Closed by Suturing the Pectoralis Major to the Latissimus Dorsi
title_short Large Axillary Defect after Lymph Node Dissection Directly Closed by Suturing the Pectoralis Major to the Latissimus Dorsi
title_sort large axillary defect after lymph node dissection directly closed by suturing the pectoralis major to the latissimus dorsi
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4174168/
https://www.ncbi.nlm.nih.gov/pubmed/25289196
http://dx.doi.org/10.1097/GOX.0b013e31828c2430
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