Skip to main content

Abstract

Primary breast cancer uncommonly arises in the lower inner quadrant (LIQ). However breast conservation in this location is a challenge and usually requires the use of a level 2 oncoplastic procedure to prevent significant deformity and a poor outcome for the patient. The LIQ-‘V mammoplasty’ offers a technical solution to most cancers in the lower inner breast which would otherwise require a Wise pattern reduction mammoplasty or else a mastectomy.

This chapter explains the indications for and critical steps involved in selecting and assessing patients with cancer of the LIQ of the breast. It then takes the reader through the operative details stepwise, aided by use of both intraoperative photographs and drawings so that any surgeon with basic technical knowledge can grasp the essential aspects of this procedure and its variations. Outcomes, including the management of complications, are also dealt with drawing on the authors’ experience and of published literature on this topic.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Haagensen CD. Diseases of the breast, vol. 2. Philadelphia: WB Saunders; 1971. p. 13.

    Google Scholar 

  2. Cochrane RA, Valasiadou P, Wilson AR, Al-Ghazal SK, Macmillan RD. Cosmesis and satisfaction after breast-conserving surgery correlates with the percentage of breast volume excised. Br J Surg. 2003;90:1505–9.

    Article  CAS  Google Scholar 

  3. Clough KB, Lewis JS, Couturaud B, Fitoussi A, Nos C, Falcou M-C. Oncoplastic techniques allow extensive resections for breast-conserving therapy of breast carcinomas. Ann Surg. 2003;237(1):26–34.

    Article  Google Scholar 

  4. Clough KB, Kaufman GJ, Nos C, et al. Improving breast cancer surgery: a classification and quadrant per quadrant atlas for oncoplastic surgery. Ann Surg Oncol. 2010;17(5):1375–91.

    Article  Google Scholar 

  5. Clough KB, Ihrai T, Oden S, et al. Oncoplastic surgery for breast cancer based on tumour location and a quadrant – per – quadrant atlas. Br J Surg. 2012;99(10):1389–95.

    Article  CAS  Google Scholar 

  6. Clough KB, Oden S, Ihrai T, et al. Level 2 Oncoplastic surgery for lower inner quadrant breast cancers: the LIQ-V mammoplasty. Ann Surg Oncol. 2013;20:3847–54.

    Article  Google Scholar 

  7. Coleman SR, Saboeiro AP. Fat grafting to the breast revisited: safety and efficacy. Plast Reconstr Surg. 2007;119:775–85.

    Article  CAS  Google Scholar 

  8. Weber WP, et al. Standardization of oncoplastic breast conserving surgery. Eur J Surg Oncol. 2017;43(7):1236–43.

    Article  CAS  Google Scholar 

  9. Clough KB, Gouveia PF, Benyahi D, et al. Positive margins after oncoplastic surgery for breast cancer. Ann Surg Oncol. 2015;22:4247–53.

    Article  Google Scholar 

  10. Lee S, Lee J, Jung Y, Bae Y. Oncoplastic surgery for inner quadrant breast cancer: fish-hook incision rotation flap. ANZ J Surg. 2017;87(10):E129–33.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Peter A. Barry .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Barry, P.A., Padmanabhan, P. (2020). V Mammoplasty. In: Klimberg, V., Kovacs, T., Rubio, I. (eds) Oncoplastic Breast Surgery Techniques for the General Surgeon. Springer, Cham. https://doi.org/10.1007/978-3-030-40196-2_14

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-40196-2_14

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-40195-5

  • Online ISBN: 978-3-030-40196-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics