Surgical Strategies for Partial Breast Reconstruction in Medial-Located Breast Cancer: A 12-Year Experience

강명재; 홍현기; 어필선; 이준석; 이정우; 이지연; 박호용; 양정덕

doi:10.4048/jbc.2023.26.e8

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자료유형: 학술저널

저자정보: 강명재 (Department of Plastic and Reconstructive Surgery Kyungpook National University School of Medicine Daegu Korea) 홍현기 (Department of Plastic and Reconstructive Surgery Kyungpook National University School of Medicine Daegu Korea.) 어필선 (Department of Plastic and Reconstructive Surgery Kyungpook National University School of Medicine Daegu Korea.) 이준석 (Department of Plastic and Reconstructive Surgery Kyungpook National University School of Medicine Daegu Korea.) 이정우 (Department of Plastic and Reconstructive Surgery Kyungpook National University School of Medicine Daegu Korea.) 이지연 (Department of Surgery Kyungpook National University School of Medicine Daegu Korea.) 박호용 (Department of Surgery Kyungpook National University School of Medicine Daegu Korea.) 양정덕 (Department of Plastic and Reconstructive Surgery Kyungpook National University School of Medicine Daegu Korea.)

저널정보: 한국유방암학회 Journal of Breast Cancer Journal of Breast Cancer Vol.26 No.1

발행연도: 2023.2

수록면: 35 - 45 (11page)

DOI: 10.4048/jbc.2023.26.e8

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Purpose: Partial breast reconstruction is challenging in medially located breast cancer, particularly in terms of achieving satisfactory aesthetic coverage. Thus, we aimed to investigate surgical strategies for filling medial defects resulting from breast-conserving surgery to improve patient satisfaction and aesthetic outcomes. Methods: We retrospectively evaluated 113 patients (114 cases) with medially located breast cancer between 2007 and 2018. We analysed the patient data, such as breast size, specimen weight, complications, and aesthetic results obtained using a questionnaire. Results: The mean body mass index and specimen weight were 23.43 kg/m2 (range, 18.5–26.8) and 83.29 g (range, 15–290 g), respectively. The tennis racket and round-block techniques were chosen for small defects (< 10%–15%) in small- and medium-sized breasts. The rotational and perforator flap techniques were used for medium-sized defects. The latissimus dorsi (LD) flap technique was used for large defects (> 30%). Hematoma was found in 1 case (0.96%), linear skin necrosis was found in 1 case (0.96%), seroma in the LD flaps was found in 8 cases (7.69%); fat necrosis in the rotational flaps was found in 2 cases (1.92%); and fat necrosis in an anterior intercostal artery perforator flap was found in 1 case (0.96%). 91 patients (87.5%) were satisfied with the aesthetic results. Conclusion: The techniques used in this study for medially located breast cancer can produce fine aesthetic outcomes with regard to breast size and resection volume, with few complications.

#Breast Neoplasms #Mastectomy #Segmental #Mammaplasty #Perforator Flap

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강명재

소속기관 Department of Plastic and Reconstructive Surgery Kyungpook National University School of Medicine Daegu Korea

주요연구분야 의약학 > 임상의학 > 성형외과학 의약학 > 임상의학 > 일반 외과학

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홍현기

소속기관 Department of Plastic and Reconstructive Surgery Kyungpook National University School of Medicine Daegu Korea.