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European Journal of Plastic Surgery

, Volume 41, Issue 2, pp 157–164 | Cite as

Oncoplastic resection of breast cancers located in the upper-inner quadrants: a safe and effective surgical technique

  • Daniele Bordoni
  • Pierfrancesco Cadenelli
  • Nicola Rocco
  • Matteo Ornelli
  • Ariel Tessone
  • Giuseppe Falco
  • Cesare Magalotti
Original Paper

Abstract

Background

The combination of breast conserving surgery (BCS) together with plastic surgery techniques (oncoplastic breast surgery) is a useful surgical tool matching the radical oncological excision while preserving breast cosmesis. Upper-inner quadrant resections represent a challenge for breast surgeons. The aim of this study was to identify a reproducible technique to repair upper-inner quadrant defects with oncoplastic glandular reshaping in order to obtain a satisfactory aesthetic outcome together with a radical excision of the breast cancer.

Methods

During the period from March 2014 to March 2016, 32 patients with an upper-inner quadrant’s breast cancer were treated at our Department. Post-operative complications, negative margins of resection rates and cosmetic outcome (both patient-reported and surgeon-reported) were assessed.

Results

At a mean follow-up of 14 months (range 6–24), the complication rate was 25% (wound dehiscence, seroma formation, hematoma, marginal skin necrosis and partial NAC necrosis). Surgical margins of resection were negative in all procedures, and the overall satisfaction with the cosmetic outcome assessed by the patient was considered excellent in 17 cases (53.1%) and in 19 cases (59.4) when assessed by the surgeon.

Conclusions

The proposed technique represents a valuable and reproducible solution for the challenging reshaping that follows upper-inner quadrantectomies due to its low complication rates, high free margins of resection rates and excellent cosmetic outcomes.

Level of Evidence: Level IV, therapeutic study.

Keywords

Oncoplastic breast surgery Breast cancer Surgical technique 

Notes

Compliance with ethical standards

Conflict of interest

Daniele Bordoni, Pierfrancesco Cadenelli, Nicola Rocco, Matteo Ornelli, Ariel Tessone, Giuseppe Falco, Cesare Magalotti declare that they have no conflict of interest.

Funding

The authors received no funding for this study.

Ethical approval

For this type of study, formal consent is not required.

This article does not contain any studies with animals performed by any of the authors.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Financial disclosures

None of the authors has a financial or non-financial interest in any of the products, devices or drugs mentioned in this manuscript.

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Copyright information

© Springer-Verlag GmbH Germany 2017

Authors and Affiliations

  1. 1.Department of SenologyAsur Marche Area Vasta 1, Santa Maria della MisericordiaUrbinoItaly
  2. 2.Department of Plastic Surgery, Hand Surgery and MicrosurgerySan Gerardo HospitalMonzaItaly
  3. 3.Department of Clinical Medicine and SurgeryUniversity of Naples “Federico II”NaplesItaly
  4. 4.Department of Plastic and Reconstructive SurgeryPolytechnic University of MarcheAnconaItaly
  5. 5.Department of Plastic and Reconstructive Surgery, The Talpiot Medical Leadership ProgramSheba Medical CenterRamat GanIsrael
  6. 6.Breast Surgery UnitIRCCS-Arcispedale Santa Maria NuovaReggio EmiliaItaly

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