Versatility of therapeutic reduction mammoplasty in oncoplastic breast conserving surgery

• 作者: Fernando Hernanz Manuel Gómez-Fleitas Mónica González-Noriega Rocío Vázquez Pérez
• 来源期刊: 世界外科手术杂志
• 学科: 医学
• 关键词: BREAST conserving SURGERY ONCOPLASTIC ONCOPLASTIC BREAST SURGERY Reduction MAMMOPLASTY THERAPEUTIC MAMMAPLASTY
• 年，卷（期）: 2015,（3）
• 页码范围: 217-222
• 页数: 6页
• 分类号: R

摘要

Oncoplastic breast conserving surgery is the gold standard approach for the surgical treatment of early breast cancer.There is a well defined technique named“therapeutic mammoplasty”which is characterized for using a reduction mammaplasty technique to treat breast cancer conservatively.In our current practice,“therapeutic mammoplasty”or therapeutic reduction mammaplasty is our favorite oncoplastic breast conserving approach which it used in almost half of our patients.This technique is very versatile allows us the resection of tumors located in all breast quadrants of patients with moderate-to large-sized breasts.We describe a series of 57 patients who were treated using a therapeutic reduction mammaplasty.All surgical procedures were carried out by one comprehensive breast surgeon who planned and designed the surgery performing both oncologic and reconstructive procedures.Surgical margins were insufficient in eight patients(14%).Nine patients(15.8%)had a complication in early postoperative period and in one of them adjuvant radiotherapy was delayed four months due to a wound dehiscence.The rate of synchronous contralateral symmetrization was 31.6%.Our conclusion is that reduction mammaplasty is a useful and safe skill to treat breast cancer conservatively playing a very important role therefore it must be situated in the priority of learning objectives.