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Evaluation of Inferior Pedicle Therapeutic Mammoplasty as a Primary Procedure for Upper Quadrants Early Breast Cancer

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DOI: 10.4236/abcr.2013.23015    3,300 Downloads   6,338 Views   Citations

ABSTRACT

Background: The treatment of breast cancer in large breast patients represents a great challenge to both surgical oncologist and radiation oncologist. The aim of this study is to evaluate the outcome of inferior pedicle therapeutic mammoplasty in large-breasted patients with upper quadrants early breast cancer. Methods: Thirty five large-breasted patients with early breast cancer were included in this study. Simultaneous bilateral inferior pedicle therapeutic mammoplasty was performed. Results: The age of the patients is ranged from 36 to 61 (median 46) years and tumour size is ranged from one to three and half cm. The weight of tissue removed is ranged from 350 gm to 780 gm and the tumour safety margins are ranged from three to eight cm. Wound dehiscence was the commonest post operative complications and six patients were affected (17.6%). The cosmetic outcome was excellent in 22 patients (64.5%), nine patients (26.5%) showed good results, two patients (6%) were satisfactory and one patient (3%) showed poor result. The follow up period is ranged from 6 to 42 months with one case (3%) of systemic metastasis. Conclusion: Inferior pedicle therapeutic reduction mammoplasty for upper quadrants early breast cancer in large breasted women is a surgically and oncologically safe procedure, and it carries a satisfactory aesthetic outcome.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Denewer, A. , Elnahas, W. , Hussein, O. , Khater, A. , El-sadda, W. and Abouelkher, K. (2013) Evaluation of Inferior Pedicle Therapeutic Mammoplasty as a Primary Procedure for Upper Quadrants Early Breast Cancer. Advances in Breast Cancer Research, 2, 86-90. doi: 10.4236/abcr.2013.23015.

References

[1] L. Beloqui and R. M. Rainsbury, “Surgery Insight: Oncoplastic Breast-Conserving Reconstruction—Indications, Benefits, Choices and Outcomes,” Nature Clinical Practice Oncology, Vol. 4, No. 11, 2007, pp. 657-664. doi:10.1038/ncponc0957
[2] B. Fisher, S. Anderson, J. Bryant, et al., “Twenty-Year Follow-Up of a Randomized Trial Comparing Total Mastectomy, Lumpectomy, and Lumpectomy Plus Irradiation for the Treatment of Invasive Breast Cancer,” New England Journal of Medicine, Vol. 347, No. 16, 2002, pp. 1233-1241. doi:10.1056/NEJMoa022152
[3] A. K. Bajaj, P. S. Kon, K. C. Oberg, et al., “Aesthetic Outcomes in Patients Undergoing Breast Conservation Therapy for Treatment of Localized Breast Cancer,” Plastic and Reconstructive Surgery, Vol. 114, No. 6, 2004, pp. 1442-1449.
[4] M. E. Taylor, C. A. Perez, K. J. Halverson, et al., “Factors Influencing Cosmetic Results after Conservation Therapy for Breast Cancer,” International Journal of Radiation Oncology, Biology, Physics, Vol. 31, No. 4, 1995, pp. 753-764. doi:10.1016/0360-3016(94)00480-3
[5] C. W. Cheng, I. J. Das and B. Stea, “The Effect of the Number of Computed Tommographic Slices on Dose Distributions and Evaluation of Treatment Planning Systems for Radiation Therapy of Intact Breast,” International Journal of Radiation Oncology, Biology, Physics, Vol. 30, No. 1, 1994, pp. 183-195. doi:10.1016/0360-3016(94)90534-7
[6] K. B. Clough, G. J. Kaufman, C. Nos, et al., “Improving Breast Cancer Surgery: A Classification and Quadrant per Quadrant Atlas for Oncoplastic Surgery,” Annals of Surgical Oncology, Vol. 17, No. 5, 2010, pp. 1375-1391. doi:10.1245/s10434-009-0792-y
[7] M. V. Schaverien, C. Raine, E. Majdak-Paredes, et al., “Therapeutic Mammaplasty Extending Indications and Achieving Low Incomplete Excision Rates,” European Journal of Surgical Oncology, 2013, pp. 1-5.
[8] P. L. Giacalone, O. Dubon, P. Roger, et al., “Doughnut Mastopexy Lumpectomy versus Standard Lumpectomy in Breast Cancer Surgery: A Prospective Study,” EJSO, Vol. 33, No. 3, 2007, pp. 301-306.
[9] M. Bouvet, S. E. Singletary, F. Ames, et al., “Combined Breast Conserving Surgery and Bilateral Reduction Mammoplasty Facilitates Postoperative Radiotherapy and Improves Cosmesis in Patients with Early Stage Breast Cancer and Large Pendulous Breast,” Breast Disease, Vol. 7, 1996, pp. 236-238.
[10] J. McIntosh and J. M. O’Donoghue, “Therapeutic Mammaplastyea Systematic Review of the Evidence,” European Journal of Surgical Oncology, Vol. 38, No. 3, 2012, pp. 196-202. doi:10.1016/j.ejso.2011.12.004
[11] E. Chang, N. Johnson, B. Webber, et al., “Bilateral Reduction Mammoplasty in Combination with Lumpectomy for Treatment of Breast Cancer in Patients with Macromastia,” The American Journal of Surgery, Vol. 187, No. 5, 2004, pp. 647-651. doi:10.1016/j.amjsurg.2004.01.002
[12] M. A. Gulcelik, L. Dogan, M. Camlibel, et al., “Early Complications of a Reduction Mammoplasty Technique in the Treatment of Macromastia with or without Breast Cancer,” Clinical Breast Cancer, Vol. 11, No. 6, 2011, pp. 395-399. doi:10.1016/j.clbc.2011.08.001
[13] F. Fitzel, G. Nehrer, M. Deutinger, et al., “Novel Stratigies in Oncoplastic Surgery for Breast Cancer: Immediate Reconstruction of Breast Defects,” European Surgery, Vol. 39, No. 6, 2007, pp. 330-339. doi:10.1007/s10353-007-0373-x
[14] A. M. Munhoz, E. Montag, E. G. Arruda, et al., “Critical Analysis of Reduction Mammaplasty Techniques in Combination with Conservative Breast Surgery for Early Breast Cancer Treatment,” Plastic and Reconstructive Surgery, Vol. 117, No. 4, pp. 1091-2003. doi:10.1097/01.prs.0000202121.84583.0d
[15] G. F. Schwartz, U. Veronesi, K. B. Clough, et al., “The Consensus Conference Committee. Consensus on Breast Conservation,” Journal of the American College of Surgeons, Vol. 203, No. 2, 2006, pp. 198-207. doi:10.1016/j.jamcollsurg.2006.04.009
[16] S. Mcculley and R. Macmillan, “Therapeutic Mammoplasty Analysis of 50 Consecutive Cases,” British Journal of Plastic Surgery, Vol. 58, No. 7, 2005, pp. 902-907. doi:10.1016/j.bjps.2005.03.007
[17] T. E. Goffman, H. Scheneider, K. Hay, et al., “Cosmesis with Bilateral Mammoreduction for Conservative Breast Cancer Treatment,” Breast Journal, Vol. 11, No. 3, 2005, pp. 195-198. doi:10.1111/j.1075-122X.2005.21610.x
[18] S. J. Kronowitz, K. K. Hunt, H. M. Kuerer, et al., “Practical Guidelines for Repair of Partial Mastectomy Defects Using the Breast Reduction Technique in Patients Undergoing Breast Conservation Therapy,” Plastic and Reconstructive Surgery, Vol. 120, No. 7, 2007, pp. 1755-1768. doi:10.1097/01.prs.0000287130.77835.f6
[19] A. Losken, T. M. Styblo, G. W. Carlson, et al., “Management Algorithm and Outcome Evaluation of Partial Mastectomy Defects Treated Using Reduction or Mastopexy Techniques,” Annals of Plastic Surgery, Vol. 59, No. 3, 2007, pp. 235-242. doi:10.1097/SAP.0b013e31802ec6d1

  
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