Bifurcate inferior pedicle mammoplasty in large ptotic breast for tumor located at the upper outer quadrant with skin involvement—a novel technique allowing good cosmetic outcome: case report

Simone Mele, Giuseppe Falco, Giulia Borgonovo, Fabio Castagnetti, Eugenio Cenini, Saverio Coiro, Guglielmo Ferrari

Research output: Contribution to journalArticlepeer-review

Abstract

Breast oncoplastic techniques followed by radiotherapy represent nowadays the standard of care for breast cancer treatment. For tumours located at the upper outer quadrant in patients with large and ptotic breasts, the use of level II breast reduction mammoplasty, allows large quadrantectomies without compromising the breast natural shape and reducing the breast volume to be irradiated. When the skin overlying the tumour in the upper outer quadrant is involved, the removal of the skin during mammoplasty could lead to an extreme reduction of the breast, resulting in a bad outcome. Different strategies have been adopted to avoid a poor cosmetic result including a Z plastic or latissimus dorsi (LD) mini flap. At our institution we developed a new technique utilizing an inferior bifurcated pedicle mammoplasty with the preservation of a skin island for a patient with a residual tumour following chemotherapy involving the skin in the upper outer quadrant of the right breast. The patient did show no complications, with no delay for adjuvant radiotherapy treatment. Our method is a novel technique to treat malignancies in this location for patients with large and ptotic breasts when skin removal is indicated and it may represent an effective strategy to prevent excessive gland reduction, thus avoiding poor cosmetic result.

Original languageEnglish
Pages (from-to)1590-1595
Number of pages6
JournalGland Surgery
Volume9
Issue number5
DOIs
Publication statusPublished - Oct 2020

Keywords

  • breast cancer
  • mammoplasty technique
  • Oncoplastic surgery

ASJC Scopus subject areas

  • Surgery

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