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Oncoplastic breast surgery combining partial mastectomy with immediate breast reshaping using multiple local flaps for a patient with slim body

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Abstract

Oncoplastic breast surgery (OBS), which combines the concepts of oncologic and plastic surgery, is becoming more common worldwide. We report the results of OBS in a Japanese patient with early breast cancer located on the outer lower quadrant area. We performed OBS combining partial mastectomy with immediate breast reshaping using multiple adipofascial cutaneous flaps and free dermal fat graft because she refused any other OBS. We selected three local flaps to repair the defect. Perioperative and postoperative complications were not seen. The cosmetic findings 3 years after surgery were not excellent, but the patient was satisfied with the results. OBS combining partial mastectomy with immediate breast reshaping using a combination of several flaps was successfully performed in a patient with early breast cancer.

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References

  1. Audretsch WP, Rezai M, Kolotas C, et al. Onco-plastic surgery: “target” volume reduction (BCT-mastopexy), lumpectomy reconstruction (BCT-reconstruction) and flap-supported operability in breast cancer. In: Proceeding 2nd European congress on senology; October 2–6, 1994; Vienna, Austria, pp 139–157.

  2. Audretsch WP, Rezai M, Kolotas C, et al. Tumor-specific immediate reconstruction (TSIR) in breast cancer patients. Perspect Plast Surg. 1998;11:71–106.

    Google Scholar 

  3. Masetti R, Pirulli PG, Magno S, et al. Oncoplastic techniques in the conservative surgical treatment of breast cancer. Breast Cancer. 2000;7:276–80.

    Article  CAS  PubMed  Google Scholar 

  4. Kijima Y, Yoshinaka H, Funasako Y, et al. Oncoplastic surgery after mammary reduction and mastopexy for bilateral breast cancer lesions: reports of a case. Surg Today. 2008;38:335–9.

    Article  PubMed  Google Scholar 

  5. Zaha H, Hakazu O, Watanabe M, Higa M. Breast-conserving surgery using reduction mammoplasty. Jpn J Breast Cancer. 2008;223:211–5 ((in Japanese with English abstract).

    Google Scholar 

  6. Kijima Y, Yoshinaka H, Funasako Y, et al. Immediate reconstruction using thoracodorsal adipofascial flap after partial mastectomy. Breast. 2009;18:126–9.

    Article  PubMed  Google Scholar 

  7. Kijima Y, Yoshinaka H, Owaki T, Aikou T. Early experience of immediate reconstruction using autologous free dermal fat graft after breast conservational surgery. J Plast Reconstr Aesthet Surg. 2007;60:495–502.

    Article  PubMed  Google Scholar 

  8. Kijima Y, Yoshinaka H, Hirata M, et al. Clinical and pathological evaluation of implanted free dermal fat graft after breast cancer surgery: a retrospective analysis. Surgery. 2012;151:444–55.

    Article  PubMed  Google Scholar 

  9. Kijima Y, Yoshinaka H, Funasako Y, et al. Immediate breast reconstruction using autologous free dermal fat graft provides better cosmetic results for patients with upper inner cancerous lesion. Surg Today. 2011;41:477–89.

    Article  PubMed  Google Scholar 

  10. Sobin LH, Gospoarowicz MK, Wittekind Ch. TNM classification of malignant tumours, 8th ed. New York: Wiley; 2017.

    Google Scholar 

  11. Kijima Y, Yoshinaka H, Hirata M, et al. Immediate reconstruction using a modified thoracodorsal adipofascial cutaneous flap after partial mastectomy. Breast. 2011;20:464–7.

    Article  PubMed  Google Scholar 

  12. Fisher B, Andrson S, Bryant J, et al. Twenty-year follow-up of a randomized trial comparing total mastectomy, lumpectomy, and lumpectomy plus irradiation for the treatment of invasive breast cancer. N Engl J med. 2002;347:1233–41.

    Article  PubMed  Google Scholar 

  13. Veronesi U, Casinelli N, Mariani L, et al. Twenty-year follow-up of a randomized study comparing breast-conserving surgery with radical mastectomy for early breast cancer. N Engl J med. 2002;347:1227–32.

    Article  PubMed  Google Scholar 

  14. Grubnik A, Benn C, Edwards G. Therapeutic mammaplasty for breast cancer: oncological and aesthetic outcomes. World J Surg. 2013;37(1):72–83.

    Article  PubMed  Google Scholar 

  15. Dewar JA, Benhamou S, Benhamou E, et al. Cosmetic results following lumpectomy axillary dissection and radiotherapy for small breast cancers. Radiother Oncol. 1988;12:273–80.

    Article  CAS  PubMed  Google Scholar 

  16. Sacchini V, Luini A, Tana S, et al. Quantitative and qualitative cosmetic evaluation after conservative treatment for breast cancer. Eur J Cancer. 1991;27:1395–400.

    Article  CAS  PubMed  Google Scholar 

  17. Amichetti M, Busana L, Caffo O. Long-term cosmetic outcome and toxicity in patients treated with quadrantectomy and radiation therapy for early-stage breast cancer. Oncology. 1995;52:177–81.

    Article  CAS  PubMed  Google Scholar 

  18. Rose MA, Olivotto I, Cady B, et al. Conservative surgery and radiation therapy for early breast cancer. Long-term cosmetic results. Arch Surg. 1989;124:153–7.

    Article  CAS  PubMed  Google Scholar 

  19. Abner AL, Recht A, Vicinit FA, et al. Cosmetic results after surgery, chemotherapy, and radiation therapy for early breast cancer. Int J Radiat Oncol Biol Phys. 1991;21:331–8.

    Article  CAS  PubMed  Google Scholar 

  20. Moro G, Ciambellotti E. Evaluation of the esthetic results of conservative treatment of breast cancer. Tumori. 1993;79:258–61.

    Article  CAS  PubMed  Google Scholar 

  21. Clough K, Cuminet J, Fitoussi A, et al. Cosmetic sequelae after conservative treatment for breast cancer: classification and results of surgical correction. Ann Plast Surg. 1998;41:471–81.

    Article  CAS  PubMed  Google Scholar 

  22. Sabel MS. Surgical considerations in early-stage breast cancer: lessons learned and future directions. Semin Radiat Oncol. 2011;21:10–9.

    Article  PubMed  Google Scholar 

  23. Schnitt SJ, Abner A, Gelman R, et al. The relationship between microscopic margins of resection and the risk of local recurrence in patients with breast cancer treated with breast-conserving surgery and radiation therapy. Cancer. 1994;74:1746–51.

    Article  CAS  PubMed  Google Scholar 

  24. Kijima Y, Yoshinaka H, Shinden Y, et al. Oncoplastic breast surgery for centrally located breast cancer: a case series. Gland Surg. 2014;3(1):62–73.

    PubMed  PubMed Central  Google Scholar 

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Correspondence to Yuko Kijima.

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Kijima, Y., Hirata, M., Shinden, Y. et al. Oncoplastic breast surgery combining partial mastectomy with immediate breast reshaping using multiple local flaps for a patient with slim body. Breast Cancer 26, 529–534 (2019). https://doi.org/10.1007/s12282-019-00948-5

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  • DOI: https://doi.org/10.1007/s12282-019-00948-5

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