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Published in: Surgery Today 7/2021

01-07-2021 | Breast Surgery | How To Do It

Oncoplastic breast surgery combining partial mastectomy with V-rotation mammoplasty for breast cancer on the upper inner area of the breast

Authors: Yuko Kijima, Munetsugu Hirata, Naotomo Higo, Hiroko Toda

Published in: Surgery Today | Issue 7/2021

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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 for obtaining symmetry of the breast shape and a level inframammary line and nipple-areola that achieved excellent results. Four Japanese patients with early breast cancer located on the upper inner area of the breast were enrolled into this study. De-epithelialized skin close to the resected area and skin from the epigastric area with subdermal fatty tissue were moved to repair the defect. Oncoplastic breast surgery (OBS) combining partial mastectomy with the V-rotation mammoplasty technique was useful for patients with breast cancer on the upper inner area of minimal ptotic breasts.
Literature
1.
go back to reference 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.CrossRef 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.CrossRef
2.
go back to reference Dixon JM, Venizelos B, Chan P. Lattisimus dorsi mini-flap: a technique for extending breast conservation. Breast. 2002;11:58–655.CrossRef Dixon JM, Venizelos B, Chan P. Lattisimus dorsi mini-flap: a technique for extending breast conservation. Breast. 2002;11:58–655.CrossRef
3.
go back to reference 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.CrossRef 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.CrossRef
4.
go back to reference 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.CrossRef 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.CrossRef
5.
go back to reference 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.CrossRef 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.CrossRef
6.
go back to reference Kijima Y, Yoshinaka H, Owaki T, Aikou T. Early experience of immediate reconstruction using autologous free dermal ft graft after breast conservational surgery. J Plastic Reconst Aesth Surg. 2007;60:495–502.CrossRef Kijima Y, Yoshinaka H, Owaki T, Aikou T. Early experience of immediate reconstruction using autologous free dermal ft graft after breast conservational surgery. J Plastic Reconst Aesth Surg. 2007;60:495–502.CrossRef
7.
go back to reference 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.CrossRef 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.CrossRef
9.
go back to reference Audretsch WP, Rezai M, Kolotas C, et al (1994) Onco-plastic surgery: “target” volume reduction (BCT-mastopexy) m lumpectomy reconstruction (BCT-reconstruction) and flap-supported operability in breast cancer. In: Proceeding 2nd European congress on senology; October 2-6m; Vienna, Austria, pp 139-57 Audretsch WP, Rezai M, Kolotas C, et al (1994) Onco-plastic surgery: “target” volume reduction (BCT-mastopexy) m lumpectomy reconstruction (BCT-reconstruction) and flap-supported operability in breast cancer. In: Proceeding 2nd European congress on senology; October 2-6m; Vienna, Austria, pp 139-57
10.
go back to reference Audretsch WP, Rezai M, Kolotas C, et al. Tumor-specific immediate reconstruction (TSIR) in breast cancer patients. Perspect Plast Surg. 1998;11:71–106. Audretsch WP, Rezai M, Kolotas C, et al. Tumor-specific immediate reconstruction (TSIR) in breast cancer patients. Perspect Plast Surg. 1998;11:71–106.
11.
go back to reference Grubnik A, Benn C, Edwards C. Therapeutic mammaplasty for breast cancer: oncoplastic and aesthetic outcomes. World J Surg. 2013;37(1):72–83.CrossRef Grubnik A, Benn C, Edwards C. Therapeutic mammaplasty for breast cancer: oncoplastic and aesthetic outcomes. World J Surg. 2013;37(1):72–83.CrossRef
12.
go back to reference Chakravorty A, Shrestha AK, Sanmugalingam N, Rapisarda F, Roche N. How safe is oncoplastic breast conservation? Comparative analysis with standard breast conserving surgery. EJSO. 2010;38:395–8.CrossRef Chakravorty A, Shrestha AK, Sanmugalingam N, Rapisarda F, Roche N. How safe is oncoplastic breast conservation? Comparative analysis with standard breast conserving surgery. EJSO. 2010;38:395–8.CrossRef
13.
go back to reference Kijima Y, Yoshinaka H, Hirata M, Ishigami S, Nakajo A, Arima H, et al. Oncoplastic breast surgery combining partial mastectomy with immediate breast reshaping using key hole shaped skin-glandular flap for Paget’s disease. Surg Today. 2014;44:1783–8.CrossRef Kijima Y, Yoshinaka H, Hirata M, Ishigami S, Nakajo A, Arima H, et al. Oncoplastic breast surgery combining partial mastectomy with immediate breast reshaping using key hole shaped skin-glandular flap for Paget’s disease. Surg Today. 2014;44:1783–8.CrossRef
14.
go back to reference 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.CrossRef 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.CrossRef
15.
go back to reference 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.CrossRef 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.CrossRef
16.
go back to reference 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.CrossRef 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.CrossRef
17.
go back to reference Kijima Y, Yoshinaka H, Hirata M, Shinden Y, Ishigami S, Nakajo A, 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.CrossRef Kijima Y, Yoshinaka H, Hirata M, Shinden Y, Ishigami S, Nakajo A, 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.CrossRef
19.
go back to reference Clough KB. Improving breast cancer surgery: a classification and quadrant per quadrant atlas for oncoplastic surgery. Ann Surg Oncol. 2010;17:1375–91.CrossRef Clough KB. Improving breast cancer surgery: a classification and quadrant per quadrant atlas for oncoplastic surgery. Ann Surg Oncol. 2010;17:1375–91.CrossRef
20.
go back to reference Anderson O, Masetti R, Silberstein MJ. Oncoplastic approaches to partial mastectomy: an overview of volume -displacement techniques. Lancet Oncol. 2005;6:145–57.CrossRef Anderson O, Masetti R, Silberstein MJ. Oncoplastic approaches to partial mastectomy: an overview of volume -displacement techniques. Lancet Oncol. 2005;6:145–57.CrossRef
Metadata
Title
Oncoplastic breast surgery combining partial mastectomy with V-rotation mammoplasty for breast cancer on the upper inner area of the breast
Authors
Yuko Kijima
Munetsugu Hirata
Naotomo Higo
Hiroko Toda
Publication date
01-07-2021
Publisher
Springer Singapore
Published in
Surgery Today / Issue 7/2021
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-020-02152-x

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