Classification of chronic radiation-induced ulcers in the chest wall after surgery in breast cancers
Identifieur interne : 000716 ( Main/Exploration ); précédent : 000715; suivant : 000717Classification of chronic radiation-induced ulcers in the chest wall after surgery in breast cancers
Auteurs : Xiao Ma [République populaire de Chine] ; Zengqiang Jin [République populaire de Chine] ; Guojun Li [États-Unis] ; Wenfeng Yang [République populaire de Chine]Source :
- Radiation Oncology (London, England) [ 1748-717X ] ; 2017.
Abstract
To explore the methods of clinical classification in chronic radiation-induced ulcers in the chest wall (CRUCWs).
A total of 64 patients with CRUCWs were treated. We divided the cases into 3 types (mild, moderate, or severe) according to their clinical manifestations. Conservative treatments, axial-pattern myocutaneous or local flaps, or filleted flaps were applied correspondingly.
The cases were divided as follows: mild (
CRUCWs can be divided into three types. Surgical methods should vary with distinguished classifications. The effective classification of CRUCWs has definite instructive significance on the selection of surgical approaches.
Url:
DOI: 10.1186/s13014-017-0876-y
PubMed: 28810878
PubMed Central: 5558728
Affiliations:
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Chine</country><wicri:regionArea>Beijing</wicri:regionArea></affiliation></author><author><name sortKey="Jin, Zengqiang" sort="Jin, Zengqiang" uniqKey="Jin Z" first="Zengqiang" last="Jin">Zengqiang Jin</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1803 4911</institution-id><institution-id institution-id-type="GRID">grid.410740.6</institution-id><institution>Department of Plastic Surgery,</institution><institution>The Affiliated Hospital of Academy of Military Medical Sciences,</institution></institution-wrap>Beijing, 100043 China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Beijing</wicri:regionArea></affiliation></author><author><name sortKey="Li, Guojun" sort="Li, Guojun" uniqKey="Li G" first="Guojun" last="Li">Guojun Li</name><affiliation wicri:level="2"><nlm:aff id="Aff3"><institution-wrap><institution-id institution-id-type="ISNI">0000 0001 2291 4776</institution-id><institution-id institution-id-type="GRID">grid.240145.6</institution-id><institution>Department of Head and Neck Surgery, Unit 1445,</institution><institution>The University of Texas MD Anderson Cancer Center,</institution></institution-wrap>1515 Holcombe Boulevard, Houston, TX 77030 USA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Texas</region></placeName><wicri:cityArea>1515 Holcombe Boulevard, Houston</wicri:cityArea></affiliation></author><author><name sortKey="Yang, Wenfeng" sort="Yang, Wenfeng" uniqKey="Yang W" first="Wenfeng" last="Yang">Wenfeng Yang</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1803 4911</institution-id><institution-id institution-id-type="GRID">grid.410740.6</institution-id><institution>Department of Plastic Surgery,</institution><institution>The Affiliated Hospital of Academy of Military Medical Sciences,</institution></institution-wrap>Beijing, 100043 China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Beijing</wicri:regionArea></affiliation></author></analytic><series><title level="j">Radiation Oncology (London, England)</title><idno type="eISSN">1748-717X</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background and purpose</title><p id="Par1">To explore the methods of clinical classification in chronic radiation-induced ulcers in the chest wall (CRUCWs).</p></sec><sec><title>Materials and methods</title><p id="Par2">A total of 64 patients with CRUCWs were treated. We divided the cases into 3 types (mild, moderate, or severe) according to their clinical manifestations. Conservative treatments, axial-pattern myocutaneous or local flaps, or filleted flaps were applied correspondingly.</p></sec><sec><title>Results</title><p id="Par3">The cases were divided as follows: mild (<italic>n</italic> = 11), moderate (<italic>n</italic> = 45), and severe (<italic>n</italic> = 8). Eight cases were cured by conservative surgical therapy. One case had a recurrence 6 months after conservative therapy and was cured by a latissimus dorsi myocutaneous flap. The transferred flaps all survived, including 26 transverse rectus abdominis myocutaneous flaps, 8 longitudinal rectus abdominis myocutaneous flaps, 6 latissimus dorsi myocutaneous flaps, 3 contralateral breast flaps, 5 lateral thoracic rotation flaps, and 7 filleted flaps. In 2 transverse rectus abdominis myocutaneous flaps and 2 latissimus dorsi myocutaneous flaps, distal necrosis appeared in small areas. The resulting wounds were salvaged with skin graft and full healing was achieved.</p></sec><sec><title>Conclusion</title><p id="Par4">CRUCWs can be divided into three types. Surgical methods should vary with distinguished classifications. The effective classification of CRUCWs has definite instructive significance on the selection of surgical approaches.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Kim Do, Y" uniqKey="Kim Do Y">Y Kim Do</name></author><author><name sortKey="Kim, Hy" uniqKey="Kim H">HY Kim</name></author><author><name sortKey="Han, Ys" uniqKey="Han Y">YS Han</name></author><author><name sortKey="Park, Jh" uniqKey="Park J">JH Park</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Funayama, E" uniqKey="Funayama E">E Funayama</name></author><author><name sortKey="Minakawa, H" uniqKey="Minakawa H">H Minakawa</name></author><author><name sortKey="Otani, H" uniqKey="Otani H">H Otani</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schindl, A" uniqKey="Schindl A">A Schindl</name></author><author><name sortKey="Schindl, M" uniqKey="Schindl M">M Schindl</name></author><author><name 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