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Updated: Apr 30, 2026

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Published on: April 3, 2026
[Desmoid tumour around the DIEP anastomosis - a rare complication after breast reconstruction]
F Cromme1, S Brüner1, K S Wittig1
1Klinik für Plastische Chirurgie, Agaplesion Diakonieklinikum Hamburg gGmbH, Hamburg.
Abstract:
Abdominal desmoid tumors are so called non-metastatic tumors. They occur by proliferation of fibroblasts of muscle, fascia or aponeuroses. After breast reconstruction with a DIEP flap (Deep Inferior epigastric Artery Perforator Flap), a progressive growth of a desmoid tumor was seen around the DIEP-anastomosis. A total excision was not possible without compromising the vascular pedicle. With taking into account a recurrence rate up to 65% another operation is probably necessary. In this case the main vessels of the graft have to be cut out and a necrosis of the flap can or may appear.
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