The Usefulness of Oncoplastic Volume Displacement Techniques in the Superiorly Located Breast Cancers for Korean Patients With Small to Moderate-Sized Breasts

Abstract

Because the average breast size of Korean women is not as large as that of western women, it is not so easy to apply the oncoplastic volume displacement technique. However, we have tried to use volume displacement techniques that work well with small-breasted women. In this study, we report the usefulness of displacement techniques in the superiorly located cancers with small- to moderate-sized breasts. Between September 2006 and August 2009, 58 women were treated for superiorly located cancers. All patients who were selected had small- to moderate-sized breasts and small to moderate breast defects. They were divided into 3 groups. The groups were split based on the distance from the nipple-areolar complex, which are as follows: near, intermediate, and far. Their mean age was 46 and the average follow-up interval was 21 months. Median weight of the specimen on the tumor side was 84 g (range, 29-140 g). The various surgical techniques used were the "round block" technique (n = 8) and "batwing mastopexy" (n = 4) for near lesions; "tennis racket" method (n = 32) and "rotational flap" (n = 8) for intermediate lesions; and "parallelogram mastopexy lumpectomy" (n = 6) for far lesions. There were 4 complications (nipple-areolar complex partial necrosis, radiation burn, and 2 wound dehiscence). No local recurrences have been observed and a majority of the patients were satisfied with cosmetic results. Oncoplastic volume displacement techniques in superiorly located breast cancers for Korean patients with small- to moderate-sized breast are reliable and should be considered in the case of breast conserving surgery (BCS).

Oncoplastic breast surgery in the setting of breast-conserving therapy: A systematic review

“…In addition, the scoring system in each methodology widely varied, such as 0% to 100% satisfaction, acceptable versus unacceptable, and excellent/good/satisfactory/poor 15, 29, 38, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59. The only standardization involved in methodology was the 5 parameters that were used in the cosmesis assessment: breast shape, symmetry, scars, nipple areola complex position and shape, and postirradiation sequelae 15, 29, 38, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59. The differences in the methodology diminish the possibility of establishing a meaningful comparison across studies.…”

“Diamond” mammoplasty as a part of conservative management of breast cancer: Description of a new technique

“…Omega operation is not ideal with lesions far from the NAC. Parallelogram mastopexy is a direct extension of simple lumpectomy 13 (Fig. 3c).…”

Surgical Techniques for Personalized Oncoplastic Surgery in Breast Cancer Patients with Small- to Moderate-Sized Breasts (Part 1): Volume Displacement

“…After lumpectomy (Figure 1B), breast tissues around the incision are separated and undergo glandular reshaping to maintain the breast shape without a divot (Figure 1C). The disadvantage of this technique is an increased scar length, and care must be taken against removing too much skin to broadly prevent shifting of the NAC, so this procedure can be used in small tumors [2,3]. …”

“…Oncoplastic breast-conserving surgery (BCS) can be performed in one of the following two ways: First, volume replacement technique combines resection with glandular reshaping or reduction mammoplasty. Second, volume replacement technique combines resection with immediate reconstruction using an autologous tissue flap [2]. …”