Oncoplastic Technique Combining an Adipofascial Flap with an Extended Glandular Flap for the Breast-Conserving Reconstruction of Small Dense Breasts

Ogawa, Tomoko; Hanamura, Noriko; Yamashita, M; Kimura, Hiroko; Ito, Minori; Nakamura, Takashi; Kashikura, Yumi; Nohara, Yuki; Noro, Aya

doi:10.4048/jbc.2012.15.4.468

Cited by 5 publications

(1 citation statement)

References 11 publications

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“…In cases of small breasts, the lateral parenchymal flap can be used when the central parenchymal defect is significant. 39 , 45 It is formed by mobilization of the lateral part of the parenchyma under the skin and above the muscle, with the formation of a bridge-like parenchymal flap that is displaced medially with the closure of the defect. If necessary, the lateral contour of the gland is compensated for by moving the adipofascial tissue from the axillary region or by a small LTAP/LICAP flap (Fig.…”

Section: Discussionmentioning

confidence: 99%

Oncoplastic Breast Conservation for Central Tumors: Definition, Classification, and the Analysis of Single Institution Experience

Zhygulin,

Fedosov

2024

Plastic and Reconstructive Surgery - Global Open

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Background: Tumors in the central part of the breast are usually considered more aggressive and technically difficult, which limits breast conservation. The definition of central tumors from a surgical point of view, classification of the techniques for partial breast reconstruction, and conceptual algorithm of choice based on tumor and breast characteristics are proposed, along with the estimation of surgical and oncological safety. Methods: This is a retrospective analysis of the single-institution experience, with a focus on the decision-making process for choosing the oncoplastic breast-conserving surgery technique. To evaluate the safety of breast conservation for central tumors, a comparative analysis of early surgical complications and oncological long-term results of treatment in patients with central breast tumor location and other breast tumor locations was performed. Results: A total of 940 lumpectomies were performed in 926 patients during 15 years. The central breast tumor location group included 128 patients with 130 lumpectomies (13.8%), and the other breast tumor locations group included 798 patients with 810 lumpectomies (86.2%). We did not find any significant differences in the rate of early surgical complications and involved margins, local and systemic recurrence rates, time to progression, or overall survival between the groups. Conclusions: Oncoplastic breast-conserving surgery is a safe procedure for the treatment of central tumors. In our opinion, the proposed classification of partial breast reconstruction techniques and an algorithm of their choice allow for effective restoration of the breast shape and volume according to the parameters of the tumor, breast, surgeon, and patient preferences.

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Section: Discussionmentioning

confidence: 99%

Oncoplastic Breast Conservation for Central Tumors: Definition, Classification, and the Analysis of Single Institution Experience

Zhygulin,

Fedosov

2024

Plastic and Reconstructive Surgery - Global Open

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Pedicle Perforator Flaps with “Invisible” Scar

Zhygulin

2023

Pedicled Flaps in Partial Breast Reconstruction

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Huge myoid hamartoma of the breast treated with reduction mammaplasty: report of a case

et al. 2014

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Breast hamartoma is an uncommon benign tumor characterized by the variety of component tissues. Adipose tissue, mammary glands, and fibrous tissue in various proportions are the main components and form a well-circumscribed mass. Myoid (muscular) hamartoma is an extremely rare subtype of breast hamartoma, which contains an additional smooth muscle component. Inadequate breast contour and nipple-areola complex malposition and expansion can occur after resection of a large myoid hamartoma. Immediate mammaplasty for the affected breast, using the dermoglandular flap technique, is required to provide symmetry of the bilateral breasts. We report a case of myoid hamartoma that was larger than ever documented before. An acceptable aesthetic result was achieved by resection and application of reduction mammaplasty in a single-stage operation.

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Oncoplastic Technique Combining an Adipofascial Flap with an Extended Glandular Flap for the Breast-Conserving Reconstruction of Small Dense Breasts

Cited by 5 publications

References 11 publications

Oncoplastic Breast Conservation for Central Tumors: Definition, Classification, and the Analysis of Single Institution Experience

Oncoplastic Breast Conservation for Central Tumors: Definition, Classification, and the Analysis of Single Institution Experience

Pedicle Perforator Flaps with “Invisible” Scar

Huge myoid hamartoma of the breast treated with reduction mammaplasty: report of a case

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