Oncoplastic Breast Surgery Using Spindle Shaped-Partial Mastectomy for Early Breast Cancer in the Upper Quadrant Area

Abstract

Background: Oncoplastic surgery is becoming more common, however, only several reports have been published in Japan. We report the results of simple oncoplastic surgery for Japanese patients with early breast cancer in the upper quadrant area. Methods: In seven patients with a past history of breast-feeding and ptotic breasts, we performed oncoplastic surgery involving partial mastectomy and the resection of excess skin and parenchymal tissue. Results: None of the patients received a contralateral operation to produce symmetrical breasts. The width of the resected excess skin tissue ranged from 20 to 50 mm, with the mean width being 30 mm, and its length ranged from 50 to 90, with the mean length being 77 mm. The width of the resected gland tissue ranged from 40 to 65 mm, with the mean width being 53 mm, and its length ranged from 70 to 100 mm, with the mean length being 97 mm. The cosmetic results were excellent. Conclusions: Oncoplastic surgery using spindle shaped-resection was successfully performed in patients with upper quadrant lesions, and the cosmetic results were excellent.

Share and Cite:

Y. Kijima, H. Yoshinaka, M. Hirata, Y. Shinden, S. Ishigami, A. Nakajo, H. Arima, T. Arigami, H. Okumura and S. Natsugoe, "Oncoplastic Breast Surgery Using Spindle Shaped-Partial Mastectomy for Early Breast Cancer in the Upper Quadrant Area," Modern Plastic Surgery, Vol. 3 No. 2, 2013, pp. 57-64. doi: 10.4236/mps.2013.32011.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] W. P. Audretsch, M. Rezai, C. Kolotas, N. Zamboglou, T. Schnabel and H. Bojar, “Onco-Plastic Surgery: ‘Target’ Volume Reduction (BCT-Mastopexy), Lumpectomy Reconstruction (BCT-Reconstruction) and Flap-Supported Operability in Breast Cancer,” Proceeding 2nd European Congress on Senology, Vienna, 2-6 October 1994, pp. 139-157.
[2] W. P. Audretsch, M. Rezai, C. Kolotas, N. Zamboglou, T. Schnabel and H. Bojar, “Tumor-Specific Immediate Reconstruction (TSIR) in Breast Cancer Patients,” Perspectives in Plastic Surgery, Vol. 11, 1998, pp. 71-106.
[3] R. Masetti, P. G. Pirulli, S. Magno, G. Francesch, F. Chiesa and A. Antinori, “Oncoplastic Techniques in the Conservative Surgical Treatment of Breast Cancer,” Breast cancer, Vol. 7, No. 4, 2000, pp. 276-280. doi:10.1007/BF02966389
[4] Y. Kijima, H. Yoshinaka, Y. Funasako, S. Natsugoe and T. Aikou, “Oncoplastic Surgery after Mammary Reduction and Mastopexy for Bilateral Breast Cancer Lesions: Reports of a Case,” Surgery Today, Vol. 38, No. 4, 2008, pp. 335-339. doi:10.1007/s00595-007-3628-z
[5] H. Zaha, O. Hakazu, M. Watanabe and M. Higa, “BreastConserving Surgery Using Reduction Mammoplasty,” Japanese Journal of Breast Cancer, Vol. 23, 2008, pp. 211-215.
[6] Y. Kijima, H. Yoshinaka, M. Hirata, T. Mizoguchi, S. Ishigami, A. Nakajo, H. Arima, S. Ueno and S. Natsugoe, “Oncoplastic Surgery in a Japanese Patient with Breast Cancer in the Lower Inner Quadrant Area: Partial Mastectomy Using Horizontal Reduction Mammoplasty,” Breast Cancer, 2010.
[7] Y. Kijima, H. Yoshinaka, M. Hirata, K. Kaneko, M. Hirata, T. Mizoguchi, S. Ishigami, H. Arima, A. Nakajo, S. Ueno and S. Natsugoe, “Oncoplastic Surgery Combining Partial Mastectomy with Breast Reconstruction Using the Free Nipple-Areola Graft Technique for a Japanese Patient with DCIS in a Ptotic Breast: A Case Report,” Surgery Today, Vol. 41, No. 3, 2011, pp. 390-395. doi:10.1007/s00595-010-4294-0
[8] Y. Kijima, H. Yoshinaka, H. Munetsugu, T. Mizoguchi, S. Ishigami, A. Nakajo, H. Arima, S. Ueno and S. Natsugoe, “Oncoplastic Surgery for Japanese Patients with Breast Cancer of the Lower Pole,” Surgery Today, Vol. 41, No. 10, 2011, pp. 1461-1465. doi:10.1007/s00595-011-4490-6
[9] Y. Kijima, H. Yoshinaka, Y. Funasako, K. Kaneko, M. Hirata, S. Ishigami and S. Natsugoe, “Immediate Reconstruction Using Thoracodorsal Adipofascial Flap after Partial Mastectomy,” Breast, Vol. 18, No. 2, 2009, pp. 126-129. doi:10.1016/j.breast.2009.02.006
[10] Y. Kijima, H. Yoshinaka, T. Owaki and T. Aikou, “Early Experience of Immediate Reconstruction Using Autologous Free Dermal Fat Graft after Breast Conservational Surgery,” Journal of Plastic, Reconstructive & Aesthetic Surgery, Vol. 60, No. 5, 2007, pp. 495-502. doi:10.1016/j.bjps. 2006.06.004
[11] Japanese Breast Cancer Society, “Cosmetic Assessment after Breast Conserving Surgery,” The 12th Annual Meeting of the Japanese Breast Cancer Society, 2004, pp. 107-109.
[12] K. Yamashita, “Cosmetic Assessment,” Journal of Japan Society for Endoscopic Surgery, Vol. 10, No. 2, 2004, pp. 165-170.
[13] K. B. Clough, J. Cuminet, A. Fitoussi, C. Nos and V. Mosseri, “Cosmetic Sequelae after Conservative Treatment for Breast Cancer: Classification and Results of Surgical Correction,” Annals of Plastic Surgery, Vol. 41, No. 5, 1998, pp. 471-481. doi:10.1097/00000637-199811000-00004
[14] J. Bostwick III, C. Paletta, C. R. Hartramph, “Conservative Treatment for Breast Cancer: Complications Requiring Reconstructive Surgery,” Annals of Surgery, Vol. 203, No. 5, 1986, pp. 481-490. doi:10.1097/00000658-198605000-00006
[15] J. Y. Petit and M. Rietjens, “Deormities Following Tumorectomy and Partial Mastectomy,” In: B Noon, Ed., Plastic and Reconstructive Surgery of the Breast, Marcel Decker, Philadelphia, 1991.
[16] K. B. Clough, C. Nos, R. J. Salmon, M. Soussaline and J. C. Durand, “Conservative Treatment of Breast Cancers by Mammaplasty and Irradiation: A New Approach to Lower Quadrant Tumors,” Plastic & Reconstructive Surgery, Vol. 96, No. 2, 1995, pp. 363-370. doi:10.1097/00006534-199508000-00015
[17] M. Noguchi, Y. Saito, Y. Mizukami, A. Nonomura, N. Ohta, N. Koyasaki, et al., “Breast Deformity, Its Correction, and Assessment of Breast Conserving Surgery,” Breast Cancer Research and Treatment, Vol. 18, No. 2, 1991, pp. 111-118. doi:10.1007/BF01980973
[18] P. Berrino, E. Campora and P. Santi, “Postquadrantectomy Breast Deformities: Classification and Techniques of Surgical Correction,” Plastic & Reconstructive Surgery, Vol. 79, No. 4, 1987, pp. 567-572. doi:10.1097/00006534-198704000-00010
[19] D. Clarke, A. Martinez and R. S. Cox, “Analysis of Cosmetic Results and Complications in Patients with Stage I and II Breast Cancer Treated with Biopsy and Irradiation,” International Journal of Radiation Oncology, Biology, Physics, Vol. 9, No. 12, 1983, pp. 1807-1813. doi:10.1016/0360-3016(83)90348-6
[20] J. R. Harris, M. B. Levene, G. Svensson and S. Hellman, “Analysis of Cosmetic Results Following Primary Radiation Therapy for Stage I and II Carcinoma of the Breast,” International Journal of Radiation Oncology Biology Physics, Vol. 5, No. 2, 1979, pp. 257-261. doi:10.1016/0360-3016(79)90729-6
[21] W. E. Matory Jr., M. Wertheimer, T. J. Fitzgerald, R. L. Walton, S. Love and W. E. Matory, “Aesthetic Results Following Partial Mastectomy and Radiation Therapy,” Plastic & Reconstructive Surgery, Vol. 85, No. 5, 1990, pp. 739-746. doi:10.1097/00006534-199005000-00014
[22] A. Grisotti, “Immediate Reconstruction after Partial Mastectomy,” Operative Techniques in Plastic and Reconstructive Surgery, Vol. 1, No. 1, 1994, pp. 1-12. doi:10.1016/S1071-0949(10)80013-7
[23] J. Hoffmann and D. Wallwiener, “Classifying Breast Cancer Surgery: A Novel, Complexity-Based System for Oncological, Oncoplastic and Reconstructive Procedures, and Proof of Principle by Analysis of 1225 Operations in 1166 Patients,” BMC Cancer, Vol. 9, 2009, p. 108. doi:10.1186/1471-2407-9-108
[24] A. D. Baildam, “Oncoplastic Surgery of the Breast,” British Journal of Surgery, Vol. 89, No. 5, 2002, pp. 532-533. doi:10.1046/j.1365-2168.2002.02077.x
[25] Y. Kijima, H. Yoshinaka, Y. Funasako, K. Kaneko, M. Hirata, T. Mizoguchi, S. Ishigami, H. Arima, A. Nakajo, S. Ueno and S. Natsugoe, “Immediate Breast Reconstruction Using Autologous Free Dermal Fat Graft Provides Better Cosmetic Results for Patients with Upper Inner Cancer Lesion,” Surgery Today, Vol. 41, No. 4, 2011, pp. 477-489. doi:10.1007/s00595-010-4307-z
[26] Y. Kijima, H. Yoshinaka, M. Hirata, Y. Umekita, M. Sohda, C. Koriyama, et al., “Clinical and Pathological Evaluation of Free Dermal Fat Graft after Breast Conservative Surgery and Immediate Breast Reconstruction,” Surgery, Vol. 151, No. 3, 2012, pp. 444-455. doi:10.1016/j.surg.2011.07.031
[27] Y. Kijima, H. Yoshinaka, M. Hirata, A. Nakajo, H. Arima, S. Ishigami, et al., “Oncoplastic Breast Surgery Combining Periareolar Mammoplasty with Volume Displacement Using a Crescent Shaped Cutaneous Flap for Early Breast Cancer in the Upper Quadrant Area,” Surgery Today, in Press

Copyright © 2024 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.