Oncoplastic resection of breast cancers located in the upper-inner quadrants: a safe and effective surgical technique

Daniele Bordoni, Pierfrancesco Cadenelli, Nicola Rocco, Matteo Ornelli, Ariel Tessone, Giuseppe Falco, Cesare Magalotti

Research output: Contribution to journalArticle

Abstract

Background: The combination of breast conserving surgery (BCS) together with plastic surgery techniques (oncoplastic breast surgery) is a useful surgical tool matching the radical oncological excision while preserving breast cosmesis. Upper-inner quadrant resections represent a challenge for breast surgeons. The aim of this study was to identify a reproducible technique to repair upper-inner quadrant defects with oncoplastic glandular reshaping in order to obtain a satisfactory aesthetic outcome together with a radical excision of the breast cancer. Methods: During the period from March 2014 to March 2016, 32 patients with an upper-inner quadrant’s breast cancer were treated at our Department. Post-operative complications, negative margins of resection rates and cosmetic outcome (both patient-reported and surgeon-reported) were assessed. Results: At a mean follow-up of 14 months (range 6–24), the complication rate was 25% (wound dehiscence, seroma formation, hematoma, marginal skin necrosis and partial NAC necrosis). Surgical margins of resection were negative in all procedures, and the overall satisfaction with the cosmetic outcome assessed by the patient was considered excellent in 17 cases (53.1%) and in 19 cases (59.4) when assessed by the surgeon. Conclusions: The proposed technique represents a valuable and reproducible solution for the challenging reshaping that follows upper-inner quadrantectomies due to its low complication rates, high free margins of resection rates and excellent cosmetic outcomes. Level of Evidence: Level IV, therapeutic study.

Original languageEnglish
Pages (from-to)1-8
Number of pages8
JournalEuropean Journal of Plastic Surgery
DOIs
Publication statusAccepted/In press - Jul 17 2017

Keywords

  • Breast cancer
  • Oncoplastic breast surgery
  • Surgical technique

ASJC Scopus subject areas

  • Surgery

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