TITLE:
Evaluation of Inferior Pedicle Therapeutic Mammoplasty as a Primary Procedure for Upper Quadrants Early Breast Cancer
AUTHORS:
Adel Denewer, Waleed Elnahas, Osama Hussein, Ashraf Khater, Wael El-sadda, Khaled M. Abouelkher
KEYWORDS:
Breast Cancer; Conservative Surgery; Reduction Therapeutic Mammoplasty
JOURNAL NAME:
Advances in Breast Cancer Research,
Vol.2 No.3,
July
1,
2013
ABSTRACT: Background: The treatment of breast cancer in large
breast patients represents a great challenge to both surgical oncologist
and radiation oncologist. The aim of this study is to evaluate the outcome of
inferior pedicle therapeutic mammoplasty in large-breasted
patients with upper quadrants early breast cancer. Methods: Thirty five large-breasted
patients with early breast cancer were included in this study. Simultaneous
bilateral inferior pedicle therapeutic mammoplasty was performed. Results: The
age of the patients is ranged from 36 to 61 (median 46) years and tumour size is ranged
from one to three and half cm. The weight of tissue removed is ranged
from 350 gm to 780 gm and the tumour safety margins are ranged
from three to eight cm. Wound dehiscence was the commonest post operative
complications and six patients were affected (17.6%). The cosmetic outcome was excellent in 22 patients (64.5%), nine patients (26.5%) showed good results,
two patients (6%) were satisfactory and one patient (3%) showed poor result.
The follow up period is ranged from 6 to 42 months with one case (3%) of systemic
metastasis. Conclusion: Inferior pedicle therapeutic reduction mammoplasty for
upper quadrants early breast cancer in large breasted women is a surgically and
oncologically safe procedure, and it carries a satisfactory aesthetic outcome.