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Ann Chir Plast Esthet. 2008 Apr;53(2):169-77. Epub 2007 Oct 23.

[Fat tissue transplant: restoration of the mammary volume after conservative treatment of breast cancers, clinical and radiological considerations].

[Article in French]

Author information

1
Service de chirurgie plastique reconstructrice et esthétique, hôpital de La Conception, 147, boulevard Baille, 13385 Marseille cedex 05, France. amar.olivier@gmail.com

Abstract

The aim of this study is to evaluate fat tissue graft as a treatment of sequelae of breast cancer conservative surgery.

MEANS AND METHODS:

This prospective study during a nine-month period concerned 15 patients with breast cancer conservative treatment sequelae. Fat tissue has been injected at the site where the tumorectomie and subsequent radiotherapy had been performed. A mammographic and photographic checkup along with the patients' subjective evaluation were done before the operation and after the operation with a one-month, three-month, and nine-month follow-up. An objective analysis of the results was done by a panel from the pictures of the ninth month's follow-up. Preoperative and postoperative mammary volumes were calculated by a CT scan using a 3D program.

RESULTS:

Mean fat tissue injected was 63.3cc. Mean patients' satisfaction grade was 8.1/10 at one month and 6.7/10 at nine months. The estimation of the resorption at nine months was 52.6% according to the patients while announced at 47.5% with the CT scan. Eighty percent of patients estimated the operation as "light" and 60% would be ready to have another injection. Skin tissue quality was enhanced and only one infection has been stated. Two-thirds of postoperative mammographies are still ACR 2 and one-third of the patients have had cytosteatonecrosis.

CONCLUSION:

This fat tissue graft technique on irradiated skin for the correction of tumorectomy sequelae brings a simple and efficient solution, which is radiologically reliable and satisfying for the patients.

PMID:
17959298
DOI:
10.1016/j.anplas.2007.07.016
[Indexed for MEDLINE]

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