Surgical treatment of breast hypertrophy

Pitanguy, Ivo

doi:10.1016/s0007-1226(67)80009-2

Cited by 286 publications

(73 citation statements)

References 3 publications

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“…The mobilization of the breast tissue allowed palpation of both deep and superficial surfaces of the tumor and aided in determining the lateral margins of excision around it. The remodeling procedure involved apposing the two medial and lateral glandular columns in the midline to fill in the defect and recentralization of the NAC to recreate 21 When that side was completed, a contralateral mammaplasty using the identical technique was performed to achieve symmetry (Fig. 8).…”

Section: Surgical Proceduresmentioning

confidence: 99%

Oncoplastic Techniques Allow Extensive Resections for Breast-Conserving Therapy of Breast Carcinomas

Clough¹,

Lewis²,

Couturaud³

et al. 2003

Annals of Surgery

535

319

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ObjectiveTo assess the oncologic and cosmetic outcomes in women with breast carcinoma who were treated with breast-conserving therapy using oncoplastic techniques with concomitant symmetrization of the contralateral breast. Summary Background DataAlthough breast-conserving therapy is the standard form of treatment for invasive breast tumors up to 4 cm, in patients with large, ill-defined, or poorly situated tumors, cosmetic results can be poor and clear resection margins difficult to obtain. The integration of oncoplastic techniques with a concomitant contralateral symmetrization procedure is a novel surgical approach that allows wide excisions and prevents breast deformities. MethodsThis is a prospective study of 101 patients who were operated on for breast carcinoma between July 1985 and June 1999 at the Institut Curie. The procedure was proposed for patients in whom conservative treatment was possible on oncologic grounds but where a standard lumpectomy would have led to poor cosmesis. Standard institutional treatment protocols were followed. All patients received either pre-or postoperative radiotherapy. Seventeen patients received preoperative chemotherapy to downsize their tumors. Mean follow-up was 3.8 years. Results were analyzed statistically using Kaplan-Meier estimates. ResultsMean weight of excised material on the tumor side was 222 g. The actuarial 5-year local recurrence rate was 9.4%, the overall survival rate was 95.7%, and the metastasis-free survival rate was 82.8%. Cosmesis was favorable in 82% of cases. Preoperative radiotherapy resulted in worse cosmesis than when given postoperatively. ConclusionsThe use of oncoplastic techniques and concomitant symmetrization of the contralateral breast allows extensive resections for conservative treatment of breast carcinoma and results in favorable oncologic and esthetic outcomes. This approach might be useful in extending the indications for conservative therapy.

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Section: Surgical Proceduresmentioning

confidence: 99%

Oncoplastic Techniques Allow Extensive Resections for Breast-Conserving Therapy of Breast Carcinomas

Clough¹,

Lewis²,

Couturaud³

et al. 2003

Annals of Surgery

535

319

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“…53,54 Another technique, still in use today, was reported by Mc Kissock in 1972. 49 Since the horizontal parts of the inverted T-incision caused more problems than the vertical part, some innovative plastic surgeons came up with techniques avoiding the horizontal scar.…”

Section: Historymentioning

confidence: 99%

“…3,21,23,27,30,35,41,42,47,49,53 The discussion about inverted T-incision versus vertical scar incision is ongoing. Vertical scar incisions seem to be more popular in Europe than in other parts of the world.…”

Section: Inverted T-incision Versus Vertical Scar Techniquementioning

confidence: 99%

Breast Reduction and Mastopexy

Eisenmann‐Klein

2010

Plastic and Reconstructive Surgery

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“…Gigantomastia (Figure 1) is a type of breast hypertrophy [1]- [3], generally female, occurring most commonly in obesity. The first women operated, at the end of 1970's decade, had tried various diets and even though having lost a few pounds, the breasts were still making it impossible to perform any kind of work within the expectations of contractors [4] [5].…”

Section: Resultsmentioning

confidence: 99%