The Rhomboid Flap for Immediate Breast Reconstruction after Quadrantectomy and Axillary Dissection

Neto, Manoel Pereira da Silva; Adao, Odo; Scandiuzzi, Délcio; Chaem, Luiz Humberto Toyoso

doi:10.1097/01.prs.0000253559.39865.bf

Cited by 5 publications

(6 citation statements)

References 5 publications

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“…[12][13][14] This is not only a simpler technique than the LDM fl ap, but is also less invasive, as no muscle sacrifi ce is required. However, it appears that the rhomboid fl ap repair is not indicated in all cases.…”

Section: Discussionmentioning

confidence: 99%

“…Several recent reports have described favorable oncological and esthetic outcomes. 10,11 Rhomboid skin and adipose fl ap repair have primarily been used as reconstruction procedures for upper quadrant lesions, [12][13][14] but may be applicable under other situations. We performed BCS with immediate breast repair using a rhomboid fl ap in two patients with lower quadrant breast cancers that exhibited skin invasion.…”

Section: Introductionmentioning

confidence: 99%

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Esthetic result of rhomboid flap repair after breast-conserving surgery for lower quadrant breast cancer lesion with skin invasion: Report of two cases

et al. 2011

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Breast-conserving surgery (BCS) has been increasingly performed as a standard operative strategy for patients with breast cancer. The primary purpose of BCS is to acquire both local control and good cosmetic results. An insignifi cant difference in cancer treatment results has been shown between BCS and total mastectomy. However, achieving suffi ciently cosmetic results can be diffi cult, particularly in patients with tumors that are large or localized to the lower quadrant. To avoid breast deformities and asymmetries after BCS, immediate reconstruction using autologous tissue has been accepted as the standard option. Rhomboid skin and adipose fl ap repair is a simple, less invasive procedure than the myocutaneous fl ap, which has primarily been performed in patients with upper quadrant lesions. We herein report the cases of two patients with lower quadrant breast cancer with skin invasion, who underwent BCS with immediate breast repair using a rhomboid fl ap. This procedure is therefore worth considering as one of the fi rst options for immediate repair after BCS.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Esthetic result of rhomboid flap repair after breast-conserving surgery for lower quadrant breast cancer lesion with skin invasion: Report of two cases

et al. 2011

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“…Unintended consequences, such as deviation or distortion of the nipple-areola complex, loss of gland or skin, breast retraction, and breast asymmetry, may be seen after BCS (9)(10)(11)(12). Large tumor size is a relative contraindication for BCS.…”

Section: Discussionmentioning

confidence: 99%

“…We think that RF gives better cosmetic results in lower outer quadrant defects than upper outer quadrant defects because the scar tissue is hidden in the former (Figure 3). With regard to concerns of large and visible scarred tissues of the skin of the breast and donor area after RF reconstruction, da Silva Neto et al (10) reported that the scar quality was fine in the long term, even after radiation therapy. Our cosmetic observations are similar to the findings of authors in other studies.…”

Section: Discussionmentioning

confidence: 99%

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Rhomboid Flap Technique in Breast-conserving Surgery: An Alternative Method for the Reconstruction of Lumpectomy Defects

Menekse¹,

Ozyazici²,

Karateke³

et al. 2015

J Breasth Health

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Objective: We aimed to present our experience with rhomboid flap reconstruction, which is a simple technique, in breast cancer patients who underwent breast-conserving surgery. Methods:We reviewed the medical records of 13 patients with breast cancer who underwent rhomboid flap reconstruction. The patients were evaluated for tumor size, safe surgical margin, and other clinical and pathological features. Results:The mean age of the patients was 43.1 years (range: 28-69 years). The mean tumor diameter was 30.8 mm (range: 15-60 mm). The mean of the safe margin of resection was evaluated to be 17.8 mm (range: 5-30 mm). Re-excision was required for one patient in the same session. Conclusion:Rhomboid flap reconstruction can facilitate the applicability of breast-conserving surgery in early breast cancer patients with large tumorto-breast-size ratio or tumors close to the skin.

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Limberg Flap in Breast Oncoplasty for Carcinoma Breast Revisited—a Tertiary Cancer Centre Experience

Bhargavan

Augustine

Cherian

2022

Indian J Surg Oncol

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The Rhomboid Flap for Immediate Breast Reconstruction after Quadrantectomy and Axillary Dissection

Cited by 5 publications

References 5 publications

Esthetic result of rhomboid flap repair after breast-conserving surgery for lower quadrant breast cancer lesion with skin invasion: Report of two cases

Esthetic result of rhomboid flap repair after breast-conserving surgery for lower quadrant breast cancer lesion with skin invasion: Report of two cases

Rhomboid Flap Technique in Breast-conserving Surgery: An Alternative Method for the Reconstruction of Lumpectomy Defects

Limberg Flap in Breast Oncoplasty for Carcinoma Breast Revisited—a Tertiary Cancer Centre Experience

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