Development of a surgical algorithm by using pre-operative imaging to predict mammoplasty cosmetic outcomes for large non-malignant tumours

Lim, Geok Hoon; Ng, Ruey Pyng; Leong, Lester Chee Hao

doi:10.21037/gs.2017.08.07

Cited by 7 publications

(7 citation statements)

References 17 publications

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“…Lim et al developed a new surgical algorithm by using preoperative imaging to predict cosmetic outcomes of the mammoplasty for large non-malignant tumours. He reported a good to excellent cosmetic outcomes in all the patients with an estimated tumour to breast size ratio up to 70% 15. Different oncoplastic techniques have also been described in the management of these tumours that is, vertical, wise pattern and round block techniques.…”

Section: Discussionmentioning

confidence: 99%

“…The treatment options are heterogeneous and varied, from simple enucleation to mastectomy with or without immediate or delayed breast reconstruction 6. The type of incision is also varied from a circumareolar or a submammary incision and incision directly over the lump 15. Lim et al developed a new surgical algorithm by using preoperative imaging to predict cosmetic outcomes of the mammoplasty for large non-malignant tumours.…”

Section: Discussionmentioning

confidence: 99%

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Largest giant juvenile fibroadenoma of the breast

et al. 2019

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Juvenile giant fibroadenoma is a rare benign tumour of the breast accounting for 0.5% of all fibroadenomas. The presentation can be very dramatic and may result in breast deformity and may mimic a rare malignant tumour. It is indeed a great challenge to provide the best treatment for these patients in terms of clinical and psychological care. Meticulous surgical planning is required to ensure a fine balance between adequate resection and the best cosmetic outcome for a developing breast. Every effort should be made to preserve the developing breast irrespective of the size of the tumour as it is in this case. We report the world’s largest juvenile fibroadenoma of the breast in a 16-year-old girl who presented to our hospital with a 28×25 cm mass on her left breast in which breast conservation was done. A detailed literature search and management of these lesions are discussed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Largest giant juvenile fibroadenoma of the breast

et al. 2019

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“…Expectantation is one of the means of management given the possibility of complete regression, which is seen in 10-40% of adolescents, while the breast deformity, parental anxiety and patient discomfort is an indication for surgical removal. To improve the aesthetic result, advances in surgical means are being validated with results that are promoted [7][8]. The surgical approach must take into consideration the size of the tumor age and sexual maturity of the patients in order to preserve normal breast tissue and lactation function.…”

Section: Discussionmentioning

confidence: 99%

Juvenile Adenofibroma, is a Good Aesthetic Result Still Possible?

Dahmani¹

2021

J Gynecol Res Rev Rep

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“…The treatment options are enucleation, WLE, oncoplastic techniques or SM with or without immediate or delayed Breast Reconstruction Surgery (BRS) (it should be considered that there is a gain of elasticity in the skin in the 6 postoperative months). The type of incision also varies from peri-aerolar, breast groove or axillary incision good cosmetic results are expected when the size ratio of the breast tumor is up to 70% (8,9).…”

Section: A B C Dmentioning

confidence: 99%

“…The main objective is to find the best aesthetic results, since a simple scar on the chest in these adolescent patients may have a strong psychological impact. There are inclusive questionnaires to assess the psychosocial and physical aspects of patients using scores such as the BREAST-Q (9,11).…”

Section: A B C Dmentioning

confidence: 99%

Breast-conserving surgery in giant juvenile fibroadenoma: a case report

Juarez¹,

Juarez²,

Martinez³

et al. 2021

AME Surg J

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Giant juvenile fibroadenoma (GJF) represents 0.5% of fibroadenomas and the usual age range of occurrence is 10 to 18. GJF definition describes a benign tumor that measures more than 5 cm, weighs more than 500 grams or occupies more than 80% of the mammary gland. In this report, we present the case of a 14-year-old patient's GJF with six months of evolution. The examination proved skin and the Nipple-Areola Complex (NAC) involve, resulting in the identification of a smooth, firm and mobile tumor of 20 cm with negative local lymph nodes. The diagnosis used Mammography (MG), Ultrasound (US), and Magnetic Resonance Imaging (MRI). In addition, Breast Conservative Surgery (BCS) required making an incision in the breast groove, resulting in good aesthetic results. To the best of our knowledge, there is no standard surgical approach. In practice, the treatment options for BCS are enucleation, Wide Local Excision (WLE) and oncoplastic techniques, and Simple Mastectomy (SM) considering or excluding reconstruction. This case challenged medicine itself since human skin gained elasticity after six months, it did not reach full breast development, and hormonal action exposition was present all time, which can generate recurrences, for instance, pregnancy or psychological factors. Whilst GJF is a pathology that requires Therapeutic Board (TB) criteria for adequate BCS, it needs a multidisciplinary team including a Gynecology Oncologist specialist, Plastic and Reconstructive Surgery (PRS) specialist, and a psychologist, where the aesthetic result of the patient should always be priority. This case shows the importance of making adequate differential diagnosis (DD) and respecting oncological principles. In a year of follow-up, skin retraction improved due to normal breast development suggesting effectiveness of the technique.

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Development of a surgical algorithm by using pre-operative imaging to predict mammoplasty cosmetic outcomes for large non-malignant tumours

Abstract: Mammoplasty can be used successfully in patients with large non-malignant tumours. However, in patients with tumours occupying more than 70% of the breast, mammoplasty alone may not yield a good cosmetic outcome.

Cited by 7 publications

References 17 publications

Largest giant juvenile fibroadenoma of the breast

Largest giant juvenile fibroadenoma of the breast

Juvenile Adenofibroma, is a Good Aesthetic Result Still Possible?

Breast-conserving surgery in giant juvenile fibroadenoma: a case report

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