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Oncoplastic breast surgery combining partial mastectomy with a triangular skin resection and re-centralization of the nipple-areola

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Abstract

The treatment of early breast cancer using breast conservation therapy (BCT) commonly ensures local control and acceptable cosmetic results. We herein report a useful technique to obtain symmetry of the breast shape and a level inframammary line and nipple-areola, which achieved excellent results. Six Japanese patients with early breast cancer located on the upper area of the breast were enrolled into this study. A triangle-shaped area of skin was removed together with cancerous and healthy-surrounding breast tissue. Two crescents were designed and de-epithelialized in the directions of 9 o’clock and 3 o’clock. The width of the crescent was decided to be the same as a half or the length of the base of a triangle to be removed. After partial mastectomy, the inner and outer glandular flaps were horizontally sutured. The operations were simple to perform and were not associated with any postoperative complications. Oncoplastic breast surgery combining partial mastectomy with triangular skin resection and re-centralization of the nipple-areola was useful for patients with breast cancer on the upper quadrant area of non-ptotic breasts.

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References

  1. Fisher B, Anderson S, Redmond CK, Wolmark R, Wickerham DL, Cronin WM. Reanalysis and results after 12 years of follow-up in a randomized clinical trial comparing total mastectomy with lumpectomy with or without irradiation in the treatment of breast cancer. N Engl J Med. 1995;333:1456–61.

    CAS  PubMed  Google Scholar 

  2. Dixon JM, Venizelos B, Chan P. Lattisimus dorsi mini-flap: a technique for extending breast conservation. Breast. 2002;11:58–655.

    CAS  PubMed  Google Scholar 

  3. Rowland JH, Desmaond KA, Meyerowitz BE, Belin TR, Wyatt GE, Granz PA. Role of breast reconstructive surgery in physical and emotional outcomes among breast cancer survivors. J Natl Cancer Inst. 2000;92:1422–9.

    CAS  PubMed  Google Scholar 

  4. Al-Ghazal SK, Blamey RW, Stewart J, Morgan DAL. The cosmetic outcome in early breast cancer treated with conservation. Eur J Surg Oncol. 1999;25:566–70.

    CAS  PubMed  Google Scholar 

  5. Kijima Y, Yoshinaka H, Funasako Y, Kaneko K, Hirata M, Mizoguchi T, Ishigami S, Arima H, Nakajo A, Ueno S, Natsugoe S. Immediate breast reconstruction using autologous free dermal fat grafts provides better cosmetic results for patients with upper inner cancerous lesions. Surg Today. 2011;41:477–89.

    PubMed  Google Scholar 

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

    Google Scholar 

  7. Kijima Y, Yoshinaka H, Hirata M, Mizoguchi T, Ishigami S, Nakajo A, et al. Oncoplastic breast surgery combining periareolar mammoplasty with a crescent shaped cutaneous flap for early breast cancer in the upper quadrant area. Surg Today. 2013;43(8):946–53.

    PubMed  Google Scholar 

  8. Kijima Y, Yoshinaka H, Hirata M, Nakajo A, Arima H, Ishigami S, Arigami T, Okumura H, Natsugoe S. Immediate volume replacement using modified free dermal fat graft from lateral abdomen for a patient with early breast cancer. Int Canc Conf. 2012;12:13.

    Google Scholar 

  9. Audretsch WP. Onco-plastic surgery:”target” volume reduction (BCT-mastopexy), lumpectomy reconstruction (BCT-reconstruction) and flap-supported operability in breast cancer. In Proceedings 2nd European Congress on Senology, 2 October 1994. Vienna/Bologna: Moncuzzi pp. 139-157.

  10. 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 

  11. Grubnik A, Benn C, Edwards C. Therapeutic mammoplasty for breast cancer: oncoplastic and aesthetic outcomes. World J Surg. 2013;37(1):72–83.

    PubMed  Google Scholar 

  12. Alexandra G, Benn C, Edwards G. Therapeutic mammoplasty for breast cancer: oncological and aesthetic outcomes. W J Surg. 2013;37:72–83.

    Google Scholar 

  13. Chakravorty A, Shrestha AK, Sanmugalingam N, Rapisarda F, Roche N, Della Rovere GQ, Macneill FA. How safe is oncoplastic breast conservation?: comparative analysis with standard breast conserving surgery. Eur J Surg Oncol (EJSO). 2012;38(5):395–8.

    CAS  PubMed  Google Scholar 

  14. Kijima Y, Yoshinaka H, Hirata M, Ishigami S, Nakajo A, Arima H, et al. Oncoplastic breast surgery combining partial mastectomy with immediate breast resha** using key hole shaped skin-glandular flap for Paget’s disease. Surg Today. 2014;44:1783–8.

    PubMed  Google Scholar 

  15. Kijima Y, Yoshinaka H, Hirata M, Arima H, Nakajo A, Shinden Y, et al. Oncoplastic surgery combining partial mastectomy and immediate volume replacement using a thoracodorsal adipofascial cutaneous flap with a crescent-shaped dermis. Surg Today. 2014;44:2098–105.

    PubMed  Google Scholar 

  16. Kijima Y, Yoshinaka H, Hirata M, Mizoguchi T, Ishigami S, Nakajo A, et al. Oncoplastic surgery for Japanese patients with breast cancer of the lower pole. Surg Today. 2011;41(10):1461–5.

    PubMed  Google Scholar 

  17. Kijima Y, Yoshinaka H, Hirata M, Shinden Y, Nakajo A, Arima H, et al. Therapeutic mammoplasty combining partial mastectomy with nipple-areola grafting for patients with early breast cancer. Surg Today. 2016;45:1187–95.

    Google Scholar 

  18. Kijima Y, Yoshinaka H, Hirata M, Shinden Y, Ishigami S, Nakajo A, Arima H, et al. Oncoplastic breast surgery using spindle shaped-partial mastectomy for early breast cancer in the upper quadrant are. Mod Plast Surg. 2013;3:57–64.

    Google Scholar 

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Correspondence to Yuko Kijima.

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Kijima, Y., Hirata, M., Higo, N. et al. Oncoplastic breast surgery combining partial mastectomy with a triangular skin resection and re-centralization of the nipple-areola. Surg Today 50, 1707–1711 (2020). https://doi.org/10.1007/s00595-020-02041-3

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