Abstract
Some breast reconstruction surgeries after mastectomy, or even reductive mammoplasty, may evolve unexpectedly when the areolopapillary complex heals and develop dehiscences, necrosis and delayed healing. The purpose of this case report was to verify the efficacy of photodynamic therapy in wound healing of the areolopapillary complex. This was a case report of a female patient with diabetes, fibromyalgia and diagnosed with breast cancer, with necrotic areolopapillary complex, after debridement, photodynamic therapy started with clobetasol propionate associated with methylene blue and low power laser application. At the beginning of the treatment with photodynamic therapy, the wound had 6 centimeters of diameter, and after 19 sessions, the wound was closed completely with normalization of the color of the nipple. The photodynamic therapy is advancing a lot in healing of infected wounds and complex wounds. It can be said that in this case report, photodynamic therapy was fundamental for the complete healing, being considered a promising treatment and another alternative for dermatofunctional physiotherapists.
Highlights
Photodynamic therapy (PDT) is a treatment for more than 40 years, and has been improved and changed in the way of performing the technique, being a combination of three fundamental factors for its realization, which are: photosensitizing drug, LED light source or laser and the effective presence of oxygen [1]. it may have other applications, PDT has an approved indication for the treatment of keratinocyte skin cancer [2] [3] [4]
Some breast reconstruction surgeries after mastectomy, or even reductive mammoplasty, may evolve unexpectedly when the areolopapillary complex heals and develop dehiscences, necrosis and delayed healing. The purpose of this case report was to verify the efficacy of photodynamic therapy in wound healing of the areolopapillary complex
This was a case report of a female patient with diabetes, fibromyalgia and diagnosed with breast cancer, with necrotic areolopapillary complex, after debridement, photodynamic therapy started with clobetasol propionate associated with methylene blue and low power laser application
Summary
Photodynamic therapy (PDT) is a treatment for more than 40 years, and has been improved and changed in the way of performing the technique, being a combination of three fundamental factors for its realization, which are: photosensitizing drug, LED (light emitting diodes) light source or laser and the effective presence of oxygen [1]. The histopathological report of this nodule was fragments of the left breast exhibiting focus of calcification free of neoplasia She was referred to dermatofunctional physical therapy to perform postoperative manual lymphatic drainage on the 23rd of May. Ten drainage operations were performed, but the areolar complex began to present necrosis and the inferior junction of the T scar had dehiscence (Figure 1), and the patient was referred to the medical sector for debridement. Ten drainage operations were performed, but the areolar complex began to present necrosis and the inferior junction of the T scar had dehiscence (Figure 1), and the patient was referred to the medical sector for debridement After her return on June 23, 2017 she was submitted to treatment with PDT.
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