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24-May-2026
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Arch Hellen Med, 43(Supplement 1), 2026, 148-154 CASE REPORT Clinical outcomes of latissimus dorsi flap reconstruction in malignancy cases D. Pratiwi, M.B. Budianto |
The three cases include a 15-year-old girl, a 37-year-old woman and a 60-yearold woman with tumors located in the auricle, breast, and deltoid, respectively. All patients underwent total resection of the tumor, followed by reconstruction with a latissimus dorsi (LD) flap. The first case was diagnosed with pleomorphic rhabdomyosarcoma (T2bN1M0) with a past medical history of chemoradiation, the second case was diagnosed with invasive ductal carcinoma of the breast (T2N0M0), and the third case was diagnosed with dermatofibrosarcoma protuberance (G1T4N1M0). All patients had adequate flap perfusion, complete wound healing, and no complications (i.e., necrosis or infection) observed within five days after surgery. In conclusion, LD flap can be presented as a safe and effective method for reconstruction of large, post-resection tumor defects from different anatomical sites. Its rich vascularity, adaptability to irradiated tissue, and overall good biomechanical properties and esthetic results position the LD flap as the ideal choice in oncoplastic surgery.
Key words: Latissimus dorsi, Neoplasms, Oncoplastic surgery, Quality of life, Reconstructive surgical procedures, Surgical flaps.
