Immediate reconstruction using inframammary adipofascial flap of the anterior rectus sheath after partial mastectomy

Kijima, Yuko; Yoshinaka, Heiji; Owaki, Tetsuhiro; Funasako, Yawara; Aikou, Takashi

doi:10.1016/j.amjsurg.2006.06.052

Cited by 36 publications

(22 citation statements)

References 10 publications

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“…The defects are easily repaired in patients with small breasts, using extramammary tissue such as a local adipofascial fl ap or a distant free dermal fat graft. [11][12][13] On the other hand, oncoplastic surgery combining a reduction type operation and recentralization of the NAC produced good results for patients with relatively large and ptotic breasts. 14,15 Reduction type oncoplastic surgery rather than a fi lling type procedure is currently indicated for patients with large or ptotic breasts, such as observed in Western women.…”

Section: Discussionmentioning

confidence: 94%

Oncoplastic surgery for Japanese patients with breast cancer of the lower pole

et al. 2011

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This report presents the results of oncoplastic surgery in three Japanese patients with breast cancer lesions involving the lower pole of the breast. Their breasts were ptotic, and their lesions were considered to be suitable for breast conservation surgery. There were treated with partial mastectomy resection using vertical-scar mammaplasty, with reduction surgery and recentralization of the nipple-areola complex. Two patients underwent a mirror-image biopsy on the contralateral breasts to determine the symmetry. The remaining patient had periareolar incision mastopexy without reduction added for the contralateral breast. A large surgical margin was used to remove excessive skin and parenchymal tissue. Ideal symmetry was achieved by performing reduction and/or mastopexy on the contralateral breast.

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Section: Discussionmentioning

confidence: 94%

Oncoplastic surgery for Japanese patients with breast cancer of the lower pole

et al. 2011

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“…We previously reported the importance of immediate breast replacement for Japanese patients with small breasts using autologous tissue according to the region of deformity, and demonstrated that we were able to obtain excellent results. 16,[41][42][43][44][45] Noguchi et al also referred to this point and advised immediate reconstruction using tissue replacement methods after partial mastectomy for Japanese patients with small breasts. 17 They recommended transferring the fl ap through the split pectoral major muscle to repair a deformity following quadrantectomy located medially.…”

Section: Discussionmentioning

confidence: 95%

Immediate breast reconstruction using autologous free dermal fat grafts provides better cosmetic results for patients with upper inner cancerous lesions

et al. 2011

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“…As magnetic resonance imaging (MRI) and ultrasonography showed that the lesion was confi ned to the quadrant area, we considered that BCT was indicated; however, her breasts were so ptotic that reconstruction by the usual methods would have been diffi cult after removal of the lesion in the lower quadrant. 7 The medical history was remarkable in that the patient had undergone surgery for an intraductal papillary mucinous neoplasm of the pancreas 6 months earlier and had lost 6 kg in weight after that operation.…”

Section: Case Reportmentioning

confidence: 98%

Oncoplastic surgery combining partial mastectomy with breast reconstruction using a free nipple-areola graft for ductal carcinoma in situ in a ptotic breast: Report of a case

et al. 2011

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We report a case of early breast cancer, which was treated successfully by oncoplastic surgery. A 65-year-old Japanese woman was referred to us for investigation of a grouped calcification on mammography of her left breast, detected during mass screening for breast cancer. No mass lesion was palpated, but we suspected that the grouped calcification seen on the mammography was a malignant lesion in the lower area of the left breast. Ultrasonography and magnetic resonance imaging revealed ductal carcinoma in situ, restricted to the inner quadrant of the left breast. Achieving a good symmetrical outcome after partial mastectomy would have been made difficult by the degree of ptosis. Thus, we performed partial mastectomy followed by an amputation-type reduction operation with free nipple-areola complex grafting, which achieved good cosmetic and oncologic results.

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Immediate reconstruction using inframammary adipofascial flap of the anterior rectus sheath after partial mastectomy

Cited by 36 publications

References 10 publications

Oncoplastic surgery for Japanese patients with breast cancer of the lower pole

Oncoplastic surgery for Japanese patients with breast cancer of the lower pole

Immediate breast reconstruction using autologous free dermal fat grafts provides better cosmetic results for patients with upper inner cancerous lesions

Oncoplastic surgery combining partial mastectomy with breast reconstruction using a free nipple-areola graft for ductal carcinoma in situ in a ptotic breast: Report of a case

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