Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Surgery Today
Published in: Surgery Today 9/2014

01-09-2014 | How to Do It

Oncoplastic breast surgery combining partial mastectomy with immediate breast reshaping using a keyhole-shaped skin glandular flap for Paget’s disease

Authors: Yuko Kijima, Heiji Yoshinaka, Munetsugu Hirata, Akihiro Nakajo, Hideo Arima, Hiroshi Okumura, Takaaki Arigami, Sumiya Ishigami, Shoji Natsugoe

Published in: Surgery Today | Issue 9/2014

Login to get access

Abstract

Oncoplastic breast surgery (OBS), which combines the concepts of oncologic and plastic surgery, is becoming more common worldwide. We herein report the results of OBS in Japanese patients with Paget’s disease. We performed OBS combining partial mastectomy with immediate breast reshaping using a keyhole-shaped skin glandular flap in two patients. In these two patients, who were diagnosed as having Paget’s disease with a restricted intraductal component in the central area of their non-ptotic breast, we performed oncoplastic surgery combining partial mastectomy with immediate breast reshaping using a keyhole-shaped skin glandular flap. Neither of the two patients received contralateral surgery to produce symmetrical breasts. The observation period ranged from 6 to 12 months, and the bilateral breast volumes and inframammary lines were symmetric. OBS combining partial mastectomy with immediate breast reshaping using a keyhole-shaped skin glandular flap was successfully performed in two patients with Paget’s disease.
Literature
1.
Audretsch WP, Rezai M, Kolotas C, Zamboglou N, Schnabel T, Bojar H. Onco-plastic surgery: “target” volume reduction (BCT-mastopexy), lumpectomy reconstruction (BCT-reconstruction) and flap-supported operability in breast cancer. In: Proceeding 2nd European Congress on Senology; Oct 2–6, 1994; Vienna, Austria. pp 139–157.
2.
Audretsch WP, Rezai M, Kolotas C, Zamboglou N, Schnabel T, Bojar H. Tumor-specific immediate reconstruction (TSIR) in breast cancer patients. Perspect Plast Surg. 1998;11:71–106.CrossRef
3.
Masetti R, Pirulli PG, Magno S, Francesch G, Chiesa F, Antinori A. Oncoplastic techniques in the conservative surgical treatment of breast cancer. Breast Cancer. 2000;7:276–80.PubMedCrossRef
4.
Kijima Y, Yoshinaka H, Funasako Y, Natsugoe S, Aikou T. Oncoplastic surgery after mammary reduction and mastopexy for bilateral breast cancer lesions: reports of a case. Surg Today. 2008;38:335–9.PubMedCrossRef
5.
Zaha H, Hakazu O, Watanabe M, Higa M. Breast-conserving surgery using reduction mammoplasty. (in Japanese with English abstract). Jpn J Breast Cancer. 2008;223:211–5.
6.
Kijima Y, Yoshinaka H, Hirata M, Mizoguchi T, Ishigami S, Arima H, Nakajo A, Ueno S, Natsugoe S. Immediate reconstruction using a modified inframammary adipofascial flap after partial mastectomy. Surg Today. 2013;43(4):456–60.PubMedCentralPubMedCrossRef
7.
Fitzal F, Nehrer G, Hoch D, Riedl O, Gutharc S, Deutinger M, et al. An oncoplastic procedure for central and medio-cranial breast cancer. Eur J Surg Oncol. 2007;33:1158–63.PubMedCrossRef
8.
Kijima Y, Yoshinaka H, Hirata M, Mizoguchi T, Ishigami S, Arima H, et al. Oncoplastic surgery combining partial mastectomy with breast reconstruction using a free nipple-areola graft for ductal carcinoma in situ in a ptotic breast: report of a case. Surg Today. 2011;41:390–5.PubMedCrossRef
9.
Kijima Y, Yoshinaka H, Hirata M, Mizoguchi T, Ishigami S, Nakajo A, et al. Oncoplastic surgery for Japanese patients with centrally located breast cancer: partial resection and reconstruction using a local skin-glandular flap. J US-China Med Sci. 2011;8(3):133–7.
10.
Kijima Y, Yoshinaka H, Funasako Y, Kaneko K, Hirata M, Ishigami S, et al. Immediate reconstruction using thoracodorsal adipofascial flap after partial mastectomy. Breast. 2009;18:126–9.PubMedCrossRef
11.
Kijima Y, Yoshinaka H, Owaki T, Aikou T. Early experience of immediate reconstruction using autologous free dermal fat graft after breast conservational surgery. J Plast Reconstr Aesthet Surg. 2007;60:495–502.PubMedCrossRef
12.
Kijima Y, Yoshinaka H, Hirata M, Umekita Y, Sohda M, Koriyama C, et al. Clinical and pathological evaluation of free dermal fat graft after breast conservative surgery and immediate breast reconstruction. Surgery. 2012;151:444–55.PubMedCrossRef
13.
Kijima Y, Yoshinaka H, Funasako Y, Kaneko K, Hirata M, Mizoguchi T, et al. Immediate breast reconstruction using autologous free dermal fat graft provides better cosmetic results for patients with upper inner cancer lesion. Surg Today. 2011;41:477–89.PubMedCrossRef
14.
Dixon AR, Galea MH, Ellis IO, Elston CW, Blamey RW. Paget’s disease of the nipple. Br J Surg. 1991;78(6):722–3.PubMedCrossRef
15.
Multon O, Bougeois D, Validire P, Vilcoq JR, Durand JC, Clough KB. Breast cancer with central localization: conservative treatment by tumorectomy with ablation of the areolar plaque. Presse Med. 1997;26(21):988–94.PubMed
16.
Lagios MD, Westdahl PR, Rose MR, Concannon S. Paget’s disease of the nipple: alternative management in cases without or with minimal extent of underlying breast carcinoma. Cancer. 1984;54:545–51.PubMedCrossRef
17.
Bijiker N, Rutgers EJT, Duchateau L, Peterse J, Julien JP, Cataliotti L. Breast conserving surgery therapy for Paget disease of the nipple. Cancer. 2001;91:472–7.CrossRef
18.
Barkley L. Breast conservation surgery with radiotherapy effective in Paget disease. Cancer. 2003;97:2142–9.CrossRef
19.
Pezzi CM, Kukora JS, Audet IM, Hervert SH, Horvic D, Richter MP. Breast conservation surgery using nipple-areola resection for central breast cancers. Arch Surg. 2004;139:32–7.PubMedCrossRef
20.
Danoff B, Pajak T, Solin L, Goodman R. Excisional biopsy, axillary node dissection and definitive radiotherapy for stages 1 and 2 breast cancer. Int J Radiat Oncol Biol Phys. 1985;11:479–83.PubMedCrossRef
21.
Grisotti A, Calabrese C. Conservative treatment of breast cancer: reconstructive problem. In: Spear SL, editor. Surgery of the breast. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2006. p. 147.
22.
Clough KB, Nos C, Salmon RJ, Soussaline M, Durand JC. Conservative treatment of breast cancers by mammoplasty and irradiation; a view approach to lower quadrant tumors. Plast Reconstr Surg. 1995;96(2):363–70.PubMedCrossRef
23.
Clough KB, Baruch J. Plastic surgery and conservative treatment of breast cancer. Indications and results. Ann Chir Plast Esthet. 1992;37(6):682–92.PubMed
24.
Grisotti A. Immediate reconstruction after partial mastectomy. Ope Techn Plast Reconstr Surg. 1994;1:1–12.CrossRef
25.
Galimberti B, Zurrida S, Zanini V, Callegari M, Veronessi P, Catania S, et al. Central small size breast cancer: how to overcome the problem of nipple and areola involvement. Eur J Cancer. 1993;29A(8):1093–6.PubMedCrossRef
26.
Schondorf NK. The technique of B-, S- or W- reduction mammoplasty in the conservative therapy of breast carcinoma: experiences with a new surgical technique. Breast. 2001;10(6):501–7.PubMedCrossRef
27.
Early Breast Cancer Trialists’ Collaborative Group (EBCTCG), Correa C, McGale P, Taylor C, Wang Y, Clarke M, Davies C, et al. Overview of the randomized trials of radiotherapy in ductal carcinoma in situ of the breast. J Natl Cancer Inst Monogr. 2010;2010(41):162–77.PubMedCrossRef
28.
Hughes LL, Wang M, Page DL, Gray R, Solin LJ, Dabvidson NE, Lowen MA, et al. Local excision alone without irradiation for ductal carcinoma in situ of the breast: a Trial of the Eastern Cooperative Oncology Group. J Clin Oncol. 2009;27(32):5319–24.PubMedCentralPubMedCrossRef
29.
Silverstein MJ, Lagios MD, Groshen S, Waisman JR, Lewinsky BS, Martino S, Gamagami P, et al. The influence of margin width on local control of ductal carcinoma in situ of the breast. NEJM. 1999;340(19):1455–61.PubMedCrossRef
Metadata
Title
Oncoplastic breast surgery combining partial mastectomy with immediate breast reshaping using a keyhole-shaped skin glandular flap for Paget’s disease
Authors
Yuko Kijima
Heiji Yoshinaka
Munetsugu Hirata
Akihiro Nakajo
Hideo Arima
Hiroshi Okumura
Takaaki Arigami
Sumiya Ishigami
Shoji Natsugoe
Publication date
01-09-2014
Publisher
Springer Japan
Published in
Surgery Today / Issue 9/2014
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-013-0687-1

Other articles of this Issue 9/2014

Surgery Today 9/2014 Go to the issue

Erratum

Erratum to: Sub-classification of Stage II colorectal cancer based on clinicopathological risk factors for recurrence

Original Article

A treatment strategy for preventing pouchitis as a postoperative complication of ulcerative colitis: the significance of the management of cuffitis

Original Article

Outcome of sentinel lymph node biopsy in breast cancer using dye alone: a single center review with a median follow-up of 5 years

Case Report

Cystic adventitial disease of the popliteal artery: report of two cases

Original Article

Recent trends in hepatectomy for elderly patients with hepatocellular carcinoma

Case Report

A new device for MRI-guided surgical excision: report of a case