Format

Send to:

Choose Destination
See comment in PubMed Commons below
Breast Cancer (Dove Med Press). 2012 Oct 25;4:167-72. doi: 10.2147/BCTT.S32766. eCollection 2012.

Therapeutic reduction mammoplasty in large-breasted women with cancer using superior and superomedial pedicles.

Author information

  • 1Surgical Oncology Department, Oncology Center, Mansoura, Egypt.
  • 2Clinical Oncology and Nuclear Medicine Department, Mansoura University, Mansoura, Egypt.

Abstract

BACKGROUND:

Surgical management of breast cancer in large-breasted women presents a real challenge. This study aims to evaluate the outcome of therapeutic reduction mammoplasty in large-breasted women with breast cancer using superior and superomedial pedicles, situated at any breast quadrant except for the central and upper medial quadrants.

METHODS:

Fifty women with breast cancer and large breasts underwent simultaneous bilateral reduction mammoplasty. The weight of the tissue removed ranged from 550 g to 1050 g and the tumor-free safety margins by frozen section were in the range of 4 cm to 12 cm.

RESULTS:

The age of the patients ranged from 36 to 58 (median 43) years and tumor size ranged from 1 cm to 4 cm. The cosmetic outcomes were excellent in 32 patients (64%), good in 15 (30%) patients, and fair in three patients (6%). The follow-up period was 8-36 (mean 20) months, with no local recurrence or systemic metastasis.

CONCLUSION:

Therapeutic reduction mammoplasty using superior and superomedial pedicles was shown to be oncologically safer than traditional conservative surgery. This oncoplastic procedure yields a satisfactory esthetic outcome with lower morbidity in large-breasted women with breast cancer.

KEYWORDS:

breast cancer; conservation surgery; oncoplastic surgery; reduction mammoplasty

PMID:
24367203
[PubMed]
PMCID:
PMC3846758
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Dove Medical Press Icon for PubMed Central
    Loading ...
    Write to the Help Desk