Abstract
We report a case of continued twitching of the latissimus dorsi muscle following breast conservation therapy, along with immediate reconstruction with a latissimus dorsi miniflap, which continued despite several attempts at control including BTX-A percutaneous local injection, and was finally cured by delayed division of the thoracodorsal nerve via a small well-tolerated axillary incision.
Highlights
A 46-year-old woman was admitted with the complaint of a left breast lump that was noticed 10 days previously
A breast conservation therapy, along with immediate reconstruction with a latissimus dorsi miniflap was performed on the left side in Oct 2005
Axillary nodal clearance, and latissimus dorsi miniflap reconstruction were performed as a one-stage technique once clear tumor margins were confirmed by frozen section
Summary
A 46-year-old woman was admitted with the complaint of a left breast lump that was noticed 10 days previously. A breast conservation therapy, along with immediate reconstruction with a latissimus dorsi miniflap was performed on the left side in Oct 2005. Axillary nodal clearance, and latissimus dorsi miniflap reconstruction were performed as a one-stage technique once clear tumor margins were confirmed by frozen section.
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