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Annals of Surgical Oncology

, Volume 20, Issue 12, pp 3847–3854 | Cite as

Level 2 Oncoplastic Surgery for Lower Inner Quadrant Breast Cancers: The LIQ-V Mammoplasty

  • Krishna B. CloughEmail author
  • Stephane Oden
  • Tarik Ihrai
  • Eleanore Massey
  • Claude Nos
  • Isabelle Sarfati
Breast Oncology

Abstract

Background

Oncoplastic surgical techniques offer an option of breast conserving surgery for larger tumors with the use of glandular reshaping to prevent postoperative deformity. A technique for the excision of lower inner quadrant tumors via a V incision is described, the lower-inner quadrant-V (LIQ-V) mammoplasty, and the results of a pilot study are reported.

Methods

Retrospective collection of pre- and postoperative data was collected from patients undergoing a LIQ-V mammoplasty for a LIQ tumor.

Results

Twenty-two patients were operated on between 2004 and 2011 at a mean age of 58 years. The mean follow-up was 55 months. The mean resection weight was 101 g for tumors ranging in size from 4 to 31 mm. The margins were clear in 95 % of cases. There was one case of local recurrence and metastatic disease. The cosmetic outcome was judged as excellent in 68 % of cases, and no patient required further ipsilateral or contralateral symmetrizing surgery.

Discussion

The deformity often associated with tumors of the LIQ is adequately addressed by this new technique. It has a complication rate comparable to other mammoplasty series and a high rate of clear resection margins. Many oncoplastic surgery techniques are based on inverted T mammoplasty, but these are not suited for all tumor locations. The LIQ-V mammoplasty is an adaptation of the standard techniques that best suit the LIQ. It is oncologically safe and provides disease-free margins, and although the resection volumes are large, the cosmetic outcome is not compromised.

Keywords

Invasive Lobular Carcinoma Inframammary Fold Pathologic Tumor Size Oncoplastic Technique Resection Weight 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Disclosures

The authors declare no conflict of interest.

Supplementary material

Supplementary material 1 (WMV 5652 kb)

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Copyright information

© Society of Surgical Oncology 2013

Authors and Affiliations

  • Krishna B. Clough
    • 1
    Email author
  • Stephane Oden
    • 1
    • 2
  • Tarik Ihrai
    • 1
    • 3
  • Eleanore Massey
    • 1
  • Claude Nos
    • 1
  • Isabelle Sarfati
    • 1
  1. 1.Paris Breast CenterParisFrance
  2. 2.Rouen University HospitalRouenFrance
  3. 3.Antoine Lacassagne CenterNiceFrance

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