A Simple and Effective Technique of Breast Remodelling After Conserving Surgery for Lower Quadrants Breast Cancer

Fabrizio de Biasio, Nicola Zingaretti, Andrea Marchesi, Luca Vaienti, Daria Almesberger, Pier Camillo Parodi

Research output: Contribution to journalArticle

Abstract

Background: Quadrantectomy is an oncologically safe procedure for the treatment of early-stage breast cancer, but it often results in poor aesthetic outcomes such as breast shape deformity, which is more visible if the tumour is located in the lower pole. We recommend the use of the transverse incision, which retains the oncological advantages of the quadrantectomy while leading to better aesthetical results. Method: We evaluated the clinical results of 24 patients with breast cancer who underwent quadrantectomy of the lower breast pole and volume replacement with remodelling through three posterior scorings from January 2012 to January 2014, with cosmetic evaluations performed according to the criteria set by the Japanese Breast Cancer Society. Results: Minimum follow-up after surgery was 2 years, with an average of 28.4 months. Among treated patients, the percentage of complications was extremely low and the degree of satisfaction fairly good. Moreover, the assessment of the medical team matched patient self-assessments. Conclusion: Immediate breast reconstruction of a defect performed after a quadrantectomy of the lower breast pole using the “posterior scoring technique” provided better cosmetic results compared to the transposition of residual breast tissue. This technique provides reliable and reproducible results, and it also appears to be rather successful on patients with small-moderate breasts in the absence of a certain degree of ptosis, therefore increasing its already considerable appeal. Level of Evidence V: This journal requires that the authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

Original languageEnglish
Pages (from-to)1-9
Number of pages9
JournalAesthetic Plastic Surgery
DOIs
Publication statusAccepted/In press - Oct 4 2016

Fingerprint

Breast
Breast Neoplasms
Segmental Mastectomy
Cosmetics
Mammaplasty
Evidence-Based Medicine
Esthetics
Neoplasms
Therapeutics

Keywords

  • Breast reconstruction
  • Breast-conserving surgery
  • Cosmetic evaluation
  • Posterior scoring technique

ASJC Scopus subject areas

  • Surgery

Cite this

de Biasio, F., Zingaretti, N., Marchesi, A., Vaienti, L., Almesberger, D., & Parodi, P. C. (Accepted/In press). A Simple and Effective Technique of Breast Remodelling After Conserving Surgery for Lower Quadrants Breast Cancer. Aesthetic Plastic Surgery, 1-9. https://doi.org/10.1007/s00266-016-0709-7

A Simple and Effective Technique of Breast Remodelling After Conserving Surgery for Lower Quadrants Breast Cancer. / de Biasio, Fabrizio; Zingaretti, Nicola; Marchesi, Andrea; Vaienti, Luca; Almesberger, Daria; Parodi, Pier Camillo.

In: Aesthetic Plastic Surgery, 04.10.2016, p. 1-9.

Research output: Contribution to journalArticle

de Biasio, Fabrizio ; Zingaretti, Nicola ; Marchesi, Andrea ; Vaienti, Luca ; Almesberger, Daria ; Parodi, Pier Camillo. / A Simple and Effective Technique of Breast Remodelling After Conserving Surgery for Lower Quadrants Breast Cancer. In: Aesthetic Plastic Surgery. 2016 ; pp. 1-9.
@article{6d2516fc1be6430ba00019f8d267420b,
title = "A Simple and Effective Technique of Breast Remodelling After Conserving Surgery for Lower Quadrants Breast Cancer",
abstract = "Background: Quadrantectomy is an oncologically safe procedure for the treatment of early-stage breast cancer, but it often results in poor aesthetic outcomes such as breast shape deformity, which is more visible if the tumour is located in the lower pole. We recommend the use of the transverse incision, which retains the oncological advantages of the quadrantectomy while leading to better aesthetical results. Method: We evaluated the clinical results of 24 patients with breast cancer who underwent quadrantectomy of the lower breast pole and volume replacement with remodelling through three posterior scorings from January 2012 to January 2014, with cosmetic evaluations performed according to the criteria set by the Japanese Breast Cancer Society. Results: Minimum follow-up after surgery was 2 years, with an average of 28.4 months. Among treated patients, the percentage of complications was extremely low and the degree of satisfaction fairly good. Moreover, the assessment of the medical team matched patient self-assessments. Conclusion: Immediate breast reconstruction of a defect performed after a quadrantectomy of the lower breast pole using the “posterior scoring technique” provided better cosmetic results compared to the transposition of residual breast tissue. This technique provides reliable and reproducible results, and it also appears to be rather successful on patients with small-moderate breasts in the absence of a certain degree of ptosis, therefore increasing its already considerable appeal. Level of Evidence V: This journal requires that the authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.",
keywords = "Breast reconstruction, Breast-conserving surgery, Cosmetic evaluation, Posterior scoring technique",
author = "{de Biasio}, Fabrizio and Nicola Zingaretti and Andrea Marchesi and Luca Vaienti and Daria Almesberger and Parodi, {Pier Camillo}",
year = "2016",
month = "10",
day = "4",
doi = "10.1007/s00266-016-0709-7",
language = "English",
pages = "1--9",
journal = "Aesthetic Plastic Surgery",
issn = "0364-216X",
publisher = "Springer New York LLC",

}

TY - JOUR

T1 - A Simple and Effective Technique of Breast Remodelling After Conserving Surgery for Lower Quadrants Breast Cancer

AU - de Biasio, Fabrizio

AU - Zingaretti, Nicola

AU - Marchesi, Andrea

AU - Vaienti, Luca

AU - Almesberger, Daria

AU - Parodi, Pier Camillo

PY - 2016/10/4

Y1 - 2016/10/4

N2 - Background: Quadrantectomy is an oncologically safe procedure for the treatment of early-stage breast cancer, but it often results in poor aesthetic outcomes such as breast shape deformity, which is more visible if the tumour is located in the lower pole. We recommend the use of the transverse incision, which retains the oncological advantages of the quadrantectomy while leading to better aesthetical results. Method: We evaluated the clinical results of 24 patients with breast cancer who underwent quadrantectomy of the lower breast pole and volume replacement with remodelling through three posterior scorings from January 2012 to January 2014, with cosmetic evaluations performed according to the criteria set by the Japanese Breast Cancer Society. Results: Minimum follow-up after surgery was 2 years, with an average of 28.4 months. Among treated patients, the percentage of complications was extremely low and the degree of satisfaction fairly good. Moreover, the assessment of the medical team matched patient self-assessments. Conclusion: Immediate breast reconstruction of a defect performed after a quadrantectomy of the lower breast pole using the “posterior scoring technique” provided better cosmetic results compared to the transposition of residual breast tissue. This technique provides reliable and reproducible results, and it also appears to be rather successful on patients with small-moderate breasts in the absence of a certain degree of ptosis, therefore increasing its already considerable appeal. Level of Evidence V: This journal requires that the authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

AB - Background: Quadrantectomy is an oncologically safe procedure for the treatment of early-stage breast cancer, but it often results in poor aesthetic outcomes such as breast shape deformity, which is more visible if the tumour is located in the lower pole. We recommend the use of the transverse incision, which retains the oncological advantages of the quadrantectomy while leading to better aesthetical results. Method: We evaluated the clinical results of 24 patients with breast cancer who underwent quadrantectomy of the lower breast pole and volume replacement with remodelling through three posterior scorings from January 2012 to January 2014, with cosmetic evaluations performed according to the criteria set by the Japanese Breast Cancer Society. Results: Minimum follow-up after surgery was 2 years, with an average of 28.4 months. Among treated patients, the percentage of complications was extremely low and the degree of satisfaction fairly good. Moreover, the assessment of the medical team matched patient self-assessments. Conclusion: Immediate breast reconstruction of a defect performed after a quadrantectomy of the lower breast pole using the “posterior scoring technique” provided better cosmetic results compared to the transposition of residual breast tissue. This technique provides reliable and reproducible results, and it also appears to be rather successful on patients with small-moderate breasts in the absence of a certain degree of ptosis, therefore increasing its already considerable appeal. Level of Evidence V: This journal requires that the authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

KW - Breast reconstruction

KW - Breast-conserving surgery

KW - Cosmetic evaluation

KW - Posterior scoring technique

UR - http://www.scopus.com/inward/record.url?scp=84990831310&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84990831310&partnerID=8YFLogxK

U2 - 10.1007/s00266-016-0709-7

DO - 10.1007/s00266-016-0709-7

M3 - Article

SP - 1

EP - 9

JO - Aesthetic Plastic Surgery

JF - Aesthetic Plastic Surgery

SN - 0364-216X

ER -