Oncoplastic resection with trasferred perforator flaps for breast cancer patients with small/­moderate volume breasts

Abstract

Aim. To analyze the results of oncoplastic resection with local perforator flaps for breast cancer patients with small/moderate volume breasts.
 Methods. The study uncluded 31 patients undergoing oncoplastic resection with LICAP/LTAP and AIAP/MICAP flaps. Inclusion criteria: histologically confirmed breast cancer, cT1c2N01M0 stage, small/moderate volume breasts, perforator presence according to Doppler ultrasound, color and energy ultrasound with linear array probe (418 MHz), and the patients desire to have the breast-conserving surgery. Exclusion criteria: large volume of breast, cT 3, cN 2, M1.
 Results. LICAP-flaps were used in 19 (61.3%) cases, AIAP in 7 (22.6%) cases and LTAP-flap in 5 (16.1%) cases. Average flap width was 8.91.2 cm, average length 21.12.1 cm. In all cases the surgical margins were clear. Mean follow-up was 17.4 months. Complications occurred in 1 (3.2%) patient (hematoma with positive dynamics on conservative treatment). The necessary symmetry was achieved in 1 step in all cases. 30 (96.8%) patients were completely satisfied with the aesthetic results (excellent and good).
 Conclusion. Oncoplastic resection with transferred perforator flaps can be successfully used for breast cancer patients with small/moderate volume breasts; the method does not require symmetrisation surgery, has minimum of complications and allows achieving good esthetic result.