Transposition flap for the oncoplastic reconstruction of outer quadrant breast defects

Joshi, Shalaka; Jaiswal, Dushyant; Chougle, Qurratulain; Wadasadawala, Tabassum; Badwe, Rajan

doi:10.1016/j.bjps.2020.12.037

Cited by 8 publications

(7 citation statements)

References 23 publications

(15 reference statements)

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“…Four (4%) patients developed clinically significant fat necrosis, which is well within the acceptable risk after breast surgery. 37 …”

Section: Discussionmentioning

confidence: 99%

Partial Breast Reconstruction with Lateral Chest Wall Perforator Flap to Facilitate Breast Conservation in Breast Cancer: First 100 Cases with Cancer Outcomes at 8 Years Follow-Up and the Lessons Learned

Roy¹,

Mustaţă²,

Hu³

et al. 2021

CMAR

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Background This is a prospective cohort study of partial breast reconstruction (PBR) with a lateral chest wall perforator flap (LCWPF) to facilitate breast conservation surgery (BCS) for women undergoing surgery for breast cancer. The study was undertaken to study the clinical and cancer outcomes. Methods Patients diagnosed with ductal carcinoma in situ (DCIS) or breast cancer who consented to undergo BCS with PBR with LCWPF were included in the study. A prospective database has been maintained to collect information on clinico-pathological features, complications, and follow-up. Patients were asked to complete an anonymised PROM questionnaire over the years. The hospital electronic records were interrogated for women who have completed 5 years follow-up to assess for development of recurrence/events. Results A total of 105 patients underwent PBR with LCWPFs between 2011 and 2018. Of these, 74% underwent cancer resection and PBR as one operation whilst 26% underwent PBR as a two-stage approach. The median tumor size on pre-op imaging was 30 mm for the one-stage approach and 39.5 mm for the two-stage approach ( p -value=0.003). The complication rates were low and the re-operation rate for close margins was 10%, with 4% eventually requiring mastectomy. Good-to-excellent esthetic outcomes were reported in more than 80% of cases by patients and clinicians. The local recurrence rate (LR) was 2%, distant recurrence rate 10.5%, disease free survival (DFS) 86%, distant disease-free survival (DDFS) 89% and overall survival (OS) 94.8% at 4.5 years median follow-up. This procedure provides an effective oncological approach, avoiding mastectomy with a good-to-excellent cosmetic outcome. The follow-up data establishes the safety of this approach. Discussion This is the first published series of recurrence and survival data in patients undergoing PBR. We intend to continue with data collection to assess long-term outcomes beyond 10 years. The authors would recommend consideration of this technique to facilitate BCS and avoid mastectomy. Registration Not applicable.

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“…Four (4%) patients developed clinically significant fat necrosis, which is well within the acceptable risk after breast surgery. 37 …”

Section: Discussionmentioning

confidence: 99%

Partial Breast Reconstruction with Lateral Chest Wall Perforator Flap to Facilitate Breast Conservation in Breast Cancer: First 100 Cases with Cancer Outcomes at 8 Years Follow-Up and the Lessons Learned

Roy¹,

Mustaţă²,

Hu³

et al. 2021

CMAR

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“…Further 19 articles were excluded because, even if the use of RT was reported, no information regarding the use of boost (yes/no) was provided. Nine residual studies were eligible for inclusion [9,10,[14][15][16][17][18][19][20] (Figure 1, Table 1), of which four were prospective cohorts, and five were retrospective studies. These studies included 670 patients overall, with a sample size ranging from The combined mean patient age was 45.9 years (range 26 -84), and the mean patient BMI, reported by two studies, was 24.9 (range 16.4 -44.4).…”

Section: Resultsmentioning

confidence: 99%

Use of tumour bed boost radiotherapy in volume replacement oncoplastic breast surgery: A systematic review

Garreffa

Meattini

Coles

et al. 2023

Critical Reviews in Oncology/Hematology

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“…Вторым немаловажным аспектом служит возможность замещения разного объема молочной железы, утраченного в ходе удаления первичной опухоли. При этом, по нашим наблюдениям и по мнению других специалистов [11], принципиальным является не сам размер молочной железы, а возможности донорской зоны и соотношение допустимого размера лоскута и объема удаляемых тканей. Объем молочной железы колебался от размера чашки бюстгальтера А до D (А -8 пациенток, В -31, С -19, D -4 пациентки).…”

Section: результатыunclassified

Long-term outcomes of oncoplastic breast resection with local perforator flaps

Шатова

Maksimova

Vashchenko

et al. 2022

Opuholi ženskoj reproduktivnoj sistemy

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Background. Oncoplastic breast resections with perforator flaps are relatively common now; however, many studies demonstrate contradictory results, especially in terms of long-term outcomes.Objective: to assess short-term and long-term outcomes of oncoplastic breast resection with defect repair using perforator flaps.Materials and methods. This study included 62 breast cancer patients who underwent oncoplastic breast resection with defect repair using local perforator flaps, including lateral intercostal artery perforator (LICAP) flaps (40.3 %), lateral thoracic artery perforator (LTAP) (19.4 %), anterior intercostal artery perforator (AICAP) (27.4 %), and medial intercostal artery perforator (MICAP) (12.9 %) flaps. The assessment of oncological, functional, and aesthetic outcomes was performed in patients who were followed-up for at least a year (n = 57). Mean follow-up time was 26.5 months (range: 14–38 months).Results. The following complications were registered among the patients studied: seroma in the area of excised primary tumor (8.1 %), insufficient blood supply of the flap that caused focal lipofibrosis/liponecrosis (3.2 %), positive resection margin (3.2 %), low position of the submammary fold (11.3 %), locoregional recurrence (0 %), generalized process (3.5 %). All women evaluated their functional and aesthetic result as good or excellent. According to BCCT.core 3.0, 91.3 % of patients achieved good and excellent results.

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Transposition flap for the oncoplastic reconstruction of outer quadrant breast defects

Cited by 8 publications

References 23 publications

Partial Breast Reconstruction with Lateral Chest Wall Perforator Flap to Facilitate Breast Conservation in Breast Cancer: First 100 Cases with Cancer Outcomes at 8 Years Follow-Up and the Lessons Learned

Partial Breast Reconstruction with Lateral Chest Wall Perforator Flap to Facilitate Breast Conservation in Breast Cancer: First 100 Cases with Cancer Outcomes at 8 Years Follow-Up and the Lessons Learned

Use of tumour bed boost radiotherapy in volume replacement oncoplastic breast surgery: A systematic review

Long-term outcomes of oncoplastic breast resection with local perforator flaps

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