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- Title
Therapeutic reduction mammoplasty in large-breasted women with cancer using superior and superomedial pedicles.
- Authors
Denewer, Adel; Shahatto, Fayez; Elnahas, Waleed; Farouk, Omar; Roshdy, Sameh; Khater, Ashraf; Hussein, Osama; Teima, Saleh; Hafez, Mohammed; Zidan, Samir; Shams, Nazem; Kotb, Sherif
- Abstract
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.
- Subjects
REDUCTION mammaplasty; BREAST cancer surgery; BREAST cancer research; METASTASIS; CANCER cells; ONCOLOGY
- Publication
Breast Cancer: Targets & Therapy, 2012, Vol 4, p167
- ISSN
1179-1314
- Publication type
Article
- DOI
10.2147/BCTT.S32766