Health, 2018, 10, 326-333
http://www.scirp.org/journal/health
ISSN Online: 1949-5005
ISSN Print: 1949-4998
Photodynamic Therapy in the Healing of the
Areolo-Papillary Complex after
Mastectomy—Case Report
Maria da Glória Karan Marquetti
1,2
, Marcus Vinícius de Mello Pinto
3
, Aline Ronis
3
,
Lamara Laguardia Valente Rocha
4
, Julio Guilherme Silva
5
, Anny Chi
6
,
Daniel Almeida Costa
7
1
Higher Education Center of Foz do Iguaçu—CESUFOZ, Paraná, Brazil
2
Biomedical Studies by Italian University Institute of Rosario—IUNIR, Santa Fe de la Vera Cruz, Argentina
3
Celulare Institute in Itaipava, Petropólis, Rio de Janeiro, Brazil
4
University of Caratinga, UNEC, Caratinga, Brazil
5
The Master’s and PhD Program in Rehabilitation Sciences at University Center Augusto Motta—UNISUAM, Rio de Janeiro, Brazil
6
Marcos Thomé Institute, Ponta Grossa, Paraná, Brazil
7
Center Medicine School of Higher Education of Valença—CESVA/FAA, Rio de Janeiro, Brazil
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 pa-
tient with diabetes, fibromyalgia and diagnosed with breast cancer, with ne-
crotic 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 prom-
ising treatment and another alternative for dermatofunctional physiotherap-
ists.
Keywords
Photodynamic Therapy, Wound Healing, Photomedicine
How to cite this paper: da Glória Karan
Marquetti, M., de Mello Pinto, M.V., Ronis,
A., Rocha, L.L.V., Silva, J.G., Chi, A. and
Costa, D.A. (2018) Photodynamic Therapy
in the Healing of the Areolo-Papillary
Complex after Mastectomy—Case Report.
Health, 10, 326-333.
https://doi.org/10.4236/health.2018.103026
Received: March 8, 2018
Accepted: March 19, 2018
Published: March 22, 2018
Copyright © 2018 by authors and
Scientific Research Publishing Inc.
This work is licensed under the Creative
Commons Attribution International
License (CC BY 4.0).
http://creativecommons.org/licenses/by/4.0/
Open Access
DOI: 10.4236/health.2018.103026 Mar. 22, 2018 326 Health