Therapeutic reduction mammoplasty in largebreasted women with cancer using superior and superomedial pedicles

被引：14

作者：

Denewer, Adel ^{[1
]}

Shahatto, Fayez ^{[1
]}

Elnahas, Waleed ^{[1
]}

Farouk, Omar ^{[1
]}

Roshdy, Sameh ^{[1
]}

Khater, Ashraf ^{[1
]}

Hussein, Osama ^{[1
]}

Teima, Saleh ^{[2
]}

Hafez, Mohammed ^{[1
]}

Zidan, Samir ^{[1
]}

Shams, Nazem ^{[1
]}

Kotb, Sherif ^{[1
]}

机构：

[1] Mansoura Univ, Oncol Ctr, Surg Oncol Dept, Mansoura, Egypt

[2] Mansoura Univ, Clin Oncol & Nucl Med Dept, Mansoura, Egypt

来源：

BREAST CANCER-TARGETS AND THERAPY | 2012年 / 4卷

关键词：

breast cancer; oncoplastic surgery; reduction mammoplasty; conservation surgery;

D O I：

10.2147/BCTT.S32766

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Background: Surgical management of breast cancer in large-breasted women presents a real challenge. This study aims to evaluate the outcome of therapeutic reduction mammoplasty in large-breasted women with breast cancer using superior and superomedial pedicles, situated at any breast quadrant except for the central and upper medial quadrants. Methods: Fifty women with breast cancer and large breasts underwent simultaneous bilateral reduction mammoplasty. The weight of the tissue removed ranged from 550 g to 1050 g and the tumor-free safety margins by frozen section were in the range of 4 cm to 12 cm. Results: The age of the patients ranged from 36 to 58 (median 43) years and tumor size ranged from 1 cm to 4 cm. The cosmetic outcomes were excellent in 32 patients (64%), good in 15 (30%) patients, and fair in three patients (6%). The follow-up period was 8-36 (mean 20) months, with no local recurrence or systemic metastasis. Conclusion: Therapeutic reduction mammoplasty using superior and superomedial pedicles was shown to be oncologically safer than traditional conservative surgery. This oncoplastic procedure yields a satisfactory esthetic outcome with lower morbidity in large-breasted women with breast cancer.

引用

页码：167 / 172

页数：6

共 21 条

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