Modified reduction mammoplasty for optimization of oncological approach: initial results and literature review
Introduction: Breast cancer is the second most common cancer among women. Constant scientific evolution has allowed increasingly less invasive surgical approaches, reducing treatment-related morbidity without cancer damage. The objective of this article is to show the surgical results and the versat...
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Thieme Revinter Publicações Ltda.
2020-06-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
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| Online Access: | http://www.rbcp.org.br/export-pdf/2744/en_v35n2a06.pdf |
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| author | Gabriel Salum D'Alessandro Alejandro Povedano Fabiana Midori Takeuchi Natalia Lima e Silva Crema João Carlos Sampaio Góes |
| author_facet | Gabriel Salum D'Alessandro Alejandro Povedano Fabiana Midori Takeuchi Natalia Lima e Silva Crema João Carlos Sampaio Góes |
| author_sort | Gabriel Salum D'Alessandro |
| collection | DOAJ |
| description | Introduction: Breast cancer is the second most common cancer among women. Constant scientific evolution has allowed increasingly less invasive surgical approaches, reducing treatment-related morbidity without cancer damage. The objective of this article is to show the surgical results and the versatility of reduction mammoplasty with the modified Pitanguy technique to optimize the immediate reconstruction associated with cancer surgery.
Methods: We present the cases of three patients who underwent the proposed technique. Marking of the breast diagnosed with cancer is planned following the principles of reduction mammoplasty described by Pitanguy. However, the inferolateral resection triangle is transposed into the supratumoral area. It can be placed from the junction of the lateral quadrants (JLQ) to the superolateral quadrant (SLQ) of the oncological breast.
Results: the three patients underwent the described technique associated with contralateral symmetrization mammoplasty with the Pitanguy technique. All were submitted to adjuvant radiation therapy, associated or not with chemotherapy. Two patients progressed without incident and one had a small necrosis of 1x1 cm at the flaps lower junction in the breast with cancer, which was treated conservatively without delaying the adjuvant treatment. All were satisfied with the aesthetic result.
Conclusion: The described technique proved to be a good alternative for tumors located between the JLQ and the SLQ of the oncological breast. It provides broader resections and thus expands the indication for conservative surgery and reduces the need for radical surgery, with better aesthetic results without impairment of the cancer outcome |
| format | Article |
| id | doaj-art-0b846cf8bdb24fb7b8b3a524dc9e5455 |
| institution | DOAJ |
| issn | 1983-5175 2177-1235 |
| language | English |
| publishDate | 2020-06-01 |
| publisher | Thieme Revinter Publicações Ltda. |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj-art-0b846cf8bdb24fb7b8b3a524dc9e54552025-08-20T02:53:07ZengThieme Revinter Publicações Ltda.Revista Brasileira de Cirurgia Plástica1983-51752177-12352020-06-01350216817410.5935/2177-1235.2020RBCP0029Modified reduction mammoplasty for optimization of oncological approach: initial results and literature reviewGabriel Salum D'Alessandro0Alejandro Povedano1Fabiana Midori Takeuchi2Natalia Lima e Silva Crema3João Carlos Sampaio Góes4Instituto Brasileiro de Controle do Câncer (IBCC), Serviço de Cirurgia Plástica, São Paulo, SP, Brazil.Instituto Brasileiro de Controle do Câncer (IBCC), Serviço de Cirurgia Plástica, São Paulo, SP, Brazil.Instituto Brasileiro de Controle do Câncer (IBCC), Serviço de Cirurgia Plástica, São Paulo, SP, Brazil.Instituto Brasileiro de Controle do Câncer (IBCC), Serviço de Cirurgia Plástica, São Paulo, SP, Brazil.Instituto Brasileiro de Controle do Câncer (IBCC), Serviço de Cirurgia Plástica, São Paulo, SP, Brazil.Introduction: Breast cancer is the second most common cancer among women. Constant scientific evolution has allowed increasingly less invasive surgical approaches, reducing treatment-related morbidity without cancer damage. The objective of this article is to show the surgical results and the versatility of reduction mammoplasty with the modified Pitanguy technique to optimize the immediate reconstruction associated with cancer surgery. Methods: We present the cases of three patients who underwent the proposed technique. Marking of the breast diagnosed with cancer is planned following the principles of reduction mammoplasty described by Pitanguy. However, the inferolateral resection triangle is transposed into the supratumoral area. It can be placed from the junction of the lateral quadrants (JLQ) to the superolateral quadrant (SLQ) of the oncological breast. Results: the three patients underwent the described technique associated with contralateral symmetrization mammoplasty with the Pitanguy technique. All were submitted to adjuvant radiation therapy, associated or not with chemotherapy. Two patients progressed without incident and one had a small necrosis of 1x1 cm at the flaps lower junction in the breast with cancer, which was treated conservatively without delaying the adjuvant treatment. All were satisfied with the aesthetic result. Conclusion: The described technique proved to be a good alternative for tumors located between the JLQ and the SLQ of the oncological breast. It provides broader resections and thus expands the indication for conservative surgery and reduces the need for radical surgery, with better aesthetic results without impairment of the cancer outcomehttp://www.rbcp.org.br/export-pdf/2744/en_v35n2a06.pdfbreast neoplasmsmammoplastymamasegmental mastectomybreast diseases |
| spellingShingle | Gabriel Salum D'Alessandro Alejandro Povedano Fabiana Midori Takeuchi Natalia Lima e Silva Crema João Carlos Sampaio Góes Modified reduction mammoplasty for optimization of oncological approach: initial results and literature review Revista Brasileira de Cirurgia Plástica breast neoplasms mammoplasty mama segmental mastectomy breast diseases |
| title | Modified reduction mammoplasty for optimization
of oncological approach: initial results and literature
review |
| title_full | Modified reduction mammoplasty for optimization
of oncological approach: initial results and literature
review |
| title_fullStr | Modified reduction mammoplasty for optimization
of oncological approach: initial results and literature
review |
| title_full_unstemmed | Modified reduction mammoplasty for optimization
of oncological approach: initial results and literature
review |
| title_short | Modified reduction mammoplasty for optimization
of oncological approach: initial results and literature
review |
| title_sort | modified reduction mammoplasty for optimization of oncological approach initial results and literature review |
| topic | breast neoplasms mammoplasty mama segmental mastectomy breast diseases |
| url | http://www.rbcp.org.br/export-pdf/2744/en_v35n2a06.pdf |
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