Figure 3.

(A) Preoperative photograph of a 76-year-old woman with left chest wall radiation-associated sarcoma after segmental mastectomy and postoperative radiotherapy 12 years prior. (B) The left chest wall resection included the medial sternum and anterolateral segments of ribs 3, 4, and 5. (C) Composite chest wall resection specimen. (D) The defect was reconstructed with an onlay bioprosthetic mesh and a left pectoralis majors myocutaneous rotation advancement flap. (E) Appearance of the reconstructed composite defect postoperatively. (Photographs courtesy of Donald P. Baumann, M.D.)