J Korean Surg Soc.  2011 Dec;81(Suppl 1):S6-S11. 10.4174/jkss.2011.81.Suppl1.S6.

Simultaneous forequarter amputation and radical mastectomy for metastatic breast carcinoma in a male patient: a case report

Affiliations
  • 1Department of Orthopedics and Traumatology, Hacettepe University, School of Medicine, Ankara, Turkey. mayvaz@hacettepe.edu.tr
  • 2Department of General Surgery, Hacettepe University, School of Medicine, Ankara, Turkey.
  • 3Department of Plastic and Reconstructive Surgery, Hacettepe University, School of Medicine, Ankara, Turkey.

Abstract

Although the majority of forequarter amputations are performed for high-grade bone and soft tissue sarcomas or extensive osteomyelitis of the upper extremity, this radical operation may also be indicated for the curative treatment of recurrent breast cancer and for the palliation of locally advanced breast cancer. We report a male patient with metastatic breast adenocarcinoma who underwent simultaneous mastectomy and forequarter amputation for the management of both his primary and metastatic disease.

Keyword

Breast neoplasms; Male; Radical mastectomy; Amputation

MeSH Terms

Adenocarcinoma
Amputation
Breast
Breast Neoplasms
Humans
Male
Mastectomy
Mastectomy, Radical
Osteomyelitis
Sarcoma
Upper Extremity

Figure

  • Fig. 1 Pre-operative X-ray of patient.

  • Fig. 2 Some sequences of pre-operative magnetic resonance imaging of patient.

  • Fig. 3 Pre-operative marking of planned skin incision.

  • Fig. 4 Intra-operative view after amputation was completed.

  • Fig. 5 Early post-operative view after vacuum assisted closure was applied.

  • Fig. 6 State of wound ten days after surgery.


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