Breast Island Flaps

Daher, Jos Carlos

doi:10.1097/00000637-199303000-00004

Cited by 15 publications

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“…Current trends in breast conserving surgery focus on tumor resection combined with a reconstructive procedure [9][10][11][12][13][14][15][16][17]. This so-called oncoplastic surgery avoids tissue defects without compromising the oncological outcome and results in an improved breast shape and regains immediate symmetry when both breasts are operated [4,11,13,16].…”

Section: Discussionmentioning

confidence: 99%

“…Tissue defects following BCS can be reconstructed immediately after resection of the tumor using autologous musculocutaneous flaps [4,16] or local breast tissue flaps [11,13,17]. Whereas large defects in small breasts are better treated by mastectomy and immediate reconstruction, tumors in large volume breasts or ptotic breasts may be treated by quadrantectomy combined with reduction mammaplasty or mastopexy [12,13,15].…”

Section: Discussionmentioning

confidence: 99%

“…Centrally located carcinomas, however, require resection and reconstruction of the nipple-areola complex, which may be done using the Grisotti flap or an inferior based pedicle with a skin island [17,18] (Fig. 4a, 4b).…”

Section: Discussionmentioning

confidence: 99%

“…This is done as mastectomy and immediate reconstruction or BCS using local or distant flaps or reduction mammaplasty (mastopexy) techniques [9][10][11][12][13][14][15][16][17][18]. Oncoplastic surgery allows resection of the cancer with a greater margin of healthy tissue, an improved cosmetic result compared to quadrantectomy alone and to perform BCS in patients who otherwise have to undergo a mastectomy [4,16,19].…”

Section: Introductionmentioning

confidence: 99%

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Tumor quadrantectomy combined with reduction mammaplasty for the treatment of breast cancer

Schrenk¹,

Huemer²,

Sir³

et al. 2006

Eur Surg

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Brusterhaltende Operationen im Rahmen einer Reduktionsplastik zur chirurgischen Therapie des Mammakarzinoms Zusammenfassung. Grundlagen: Der Einsatz von Reduktionstechniken im Rahmen der brusterhaltenden Therapie des Mammakarzinoms kann bei ungünstiger Brustgröße/Tumorrelation die Rate an brusterhaltenden Operationen erhöhen und gleichzeitig das kosmetische Ergebnis verbessern. Methodik: 121 Patientinnen mit 125 Karzinomen (114 invasive Karzinome, 11 DCIS) wurden brusterhaltend im Rahmen einer Reduktionsplastik operiert. Ergebnisse: Die Eingriffe wurden einseitig (n = 4/121) oder beidseits (n = 117/121) durchgeführt. In 3/125 der Tumorresektate fanden sich kein freier Tumorrand (alle DCIS), bei 2/125 ein multizentrisches Tumorgeschehen, die eine sekundäre Mastektomie mit Sofortrekonstruktion nötig machten. Bei 4/117 Patientinnen fand die endgültige histologische Aufarbeitung ein okkultes kontralaterales invasives Karzinom. Nach einer medianen Nachbeobachtungszeit von 32 Monaten (11-106 Monate) fand sich kein lokales oder axilläres Rezidiv, 3 mal eine systemische Metastasierung. 97/121 Patientinnen (80 %) beurteilten ihr kosmetisches Ergebnis als ausgezeichnet, 24/121 (20 %) als gut. Schlussfolgerungen: Onkologische Reduktionstechniken zeigen ein den alleinigen Quadrantektomien vergleichbares onkologisches Ergebnis, jedoch mit einem besseren kosmetischen Ergebnis. Schlüsselwörter: Mammakarzinom, Reduktionsplastik, onkoplastische Chirurgie, brusterhaltende Chirurgie.Summary. Background: Tumor quadrantectomy combined with reduction mammaplasty allows resection of breast cancer with wider free margins and an improved cosmetic result.Methods: 121 women with 125 breast cancers (114 invasive cancers, 11 high grade DCIS) underwent tumor quadrantectomy combined with a reduction mammaplasty. The oncological and cosmetic outcome is evaluated.Results: Reduction mammaplasties were performed unilaterally (n = 4/121) or bilaterally (n = 117/121). Mean free surgical margins were 11.8 mm in patients with invasive cancer and 18.6 mm in patients with high grade DCIS. 3 of 125 resection specimen revealed positive margins (all were DCIS), in 2 of 125 specimens multicentric invasive cancer was found and the 5 patients underwent secondary mastectomy with immediate reconstruction. In 4 of 117 patients an occult invasive cancer was found in the histological specimen of the contralateral breast. After a median follow-up of 32 months (range 11-106 months) there were no local recurrences in the breast or axilla, three patients developed distant metastases. The postoperative cosmetic result evaluated by the patients was rated as excellent in 97 of 121 patients (80%) and good in 24 of 121 patients (20%) with no poor result.Conclusions: Tumor quadrantectomy combined with reduction mammaplasty allows wide tumor resection with adequate cosmetic result.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Tumor quadrantectomy combined with reduction mammaplasty for the treatment of breast cancer

Schrenk¹,

Huemer²,

Sir³

et al. 2006

Eur Surg

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“…In some very large tumours, the lower triangle may be smaller than the resulting defect. In two such cases, geometric compensation mammaplasty had to be performed in conjunction with a plug flap, a technique in which a skin island within the inferior pedicle is preserved and moved to the upper pole to compensate for the lack of tissue 11 (Figures 10 and 11).…”

Section: Preoperative Markings and Technique Descriptionmentioning

confidence: 99%

Oncoplastic mammaplasty with geometric compensation: Evolution of the technique, outcomes and follow‐up in a multicentre retrospective cohort

Paulinelli

Oliveira²,

Bagnoli³

et al. 2020

Journal of Surgical Oncology

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Background and Objectives To report on the outcomes and evolution of an oncoplastic mammaplasty referred to as geometric compensation mammaplasty. Methods Seventy‐three patients with malignant tumours were operated on and followed up in five centres in two countries. Preoperative markings were performed using a Wise pattern. The resection of affected skin was geometrically compensated using another area of preserved skin. Results Mean pathological tumour size was 30.42 ± 21.98 mm. Twenty tumours (30.77%) were locally advanced and 15 (20.55%) were multicentric. Twenty‐two patients (34.38%) were submitted to neoadjuvant chemotherapy. Cosmetic results were considered good or excellent in 59 cases (80.82%). Margins were positive in two cases (2.74%). Complications were partial wound dehiscence (n = 11; 15.07%), fat necrosis (n = 9; 12.33%), skin necrosis (n = 5; 6.85%), seromas (n = 5; 6.85%), enlarged scars (n = 7; 9.59%) and infection (n = 2; 2.74%). There were three cases of local recurrence (4.29%), two of bone metastasis (2.86%) and three of metachronous contralateral breast cancer (4.35%). No deaths were recorded within a mean follow‐up of 35.33 ± 28.21 months. Conclusions The technique allowed breast conservation in situations requiring a large resection of skin in difficult positions, with a high rate of free margins, correction of ptosis, satisfactory symmetry and few complications.

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Correction of Partial Mastectomy Defects

Breast Reconstruction With Autologous Tissue

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Breast Island Flaps

Cited by 15 publications

References 0 publications

Tumor quadrantectomy combined with reduction mammaplasty for the treatment of breast cancer

Tumor quadrantectomy combined with reduction mammaplasty for the treatment of breast cancer

Oncoplastic mammaplasty with geometric compensation: Evolution of the technique, outcomes and follow‐up in a multicentre retrospective cohort

Correction of Partial Mastectomy Defects

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