No abstract

Lymphedema is one of the most serious and disabling sequela secondary to breast cancer and its complementary treatments. 1,2 Several studies on quality of life 3,4 confirm that lymphedema is even more disabling than amastia or breast asymmetry because of its functional limitations, esthetic implications and higher risk of erysipelas or recurrent lymphangitis. Breast cancer-related lymphedema (BCRL) affects approximately 19 to 33% of breast cancer survivors who undergo axillary lymph node dissection (ALND) and radiation therapy (RT) and approximately 3.5 to 22% of breast cancer survivors who undergo sentinel node biopsy and RT. 5,6 Despite the recent trend to treat BCLR in early stages of the disease, a standard therapy has not yet been established. For many years, conservative medical and physical treatments Keywords ► lymphedema ► lymphaticovenous anastomosis ► autologous lymph node transplantation ► supermicrosurgery ► breast cancer-related lymphedema Abstract

Poland syndrome is the most frequent cause of congenital breast aplasia and hypoplasia. Breast and possible chest wall deformities can be treated with several surgical techniques, including implants, and pedicled or free flaps.We describe the case of a young patient with severe Poland syndrome with amastia, athelia, and deformity of the chest wall, and aplasia of 2 ribs. Marked hypoplasia of the ipsilateral latissimus dorsi muscle ruled out a reliable reconstructive option.Two perforator flaps were performed in a single-stage operation. A hemi-deep inferior epigastric perforator flap was harvested to correct the chest deformity, whereas the contralateral superficial inferior epigastric artery flap allowed breast reconstruction.No complications occurred and a subjectively and objectively pleasing cosmetic result was maintained at 3-year follow-up.