Konturdefekte bei brusterhaltender Therapie des Mammakarzinoms Primäre und sekundäre Möglichkeiten der Korrektur

Abstract

Our results showed an adverse effect of long radial incisions. For lumpectomy and axillary node dissection separate incisions should be used. Correction of contour deformities should be done primarily in breast conserving procedures. This is possible by using modified reduction mammaplasties, local flaps of the breast tissue or switching a latissimus dorsi muscle flap. For secondary correction of defects after breast conserving treatment a latissimus dorsi muscle can be used as well as z-plasty for scar contracture.

Microscopic Residual Disease Is a Risk Factor in the Primary Treatment of Breast Cancer

“…With 71% excellent or good global cosmetic results in the group who received a boost, the results appeared still acceptable [40]. Surgical factors can contribute to improve the cosmetic outcome after radiotherapy [8]. rate of our patient group with microscopically free resection margins is virtually identical with the control rate of the no boost arm in the EORTC trial.…”

Remission Rates in Breast Cancer Treated with Preoperative Chemotherapy and Radiotherapy

“…To solve this problem, the latissimus dorsi myocutaneous flap (LAT) can be used [3,8,10]. For patients with more advanced tumors, the trans-rectus abdominis myocutaneus flap (TRAM) allows immediate reconstruction of the breast.…”

Lebensalterspezifische Ergebnisse der adjuvanten Radiotherapie des Mammakarzinoms

“…In den Tumorstadien T1 und T2 ermöglicht die brusterhaltende Therapie [9] in Kombination mit der postoperativen Radiotherapie gleich gute Ergebnisse wie durch die Mastektomie [28].…”