Oncoplastic resection of breast cancers located in the upper-inner quadrants: a safe and effective surgical technique
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.
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.
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.
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.
KeywordsOncoplastic breast surgery Breast cancer Surgical technique
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.
The authors received no funding for this study.
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 was obtained from all individual participants included in the study.
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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