Preliminary experience using oncoplastic techniques of reduction mammaplasty and intraoperative radiotherapy: Report of 2 cases

Simonetta Franchelli, Paolo Meszaros, Marina Guenzi, Renzo Corvó, Davide Pertile, Michela Massa, Liliana Belgioia, Alessia D'Alonzo, Ferdinando Cafiero, Pierluigi Santi

Research output: Contribution to journalArticlepeer-review

Abstract

Background Since 2004 in the Department of Oncological Integrated Surgery at the National Institute for Cancer Research of Genoa, we have applied different techniques of reduction mammaplasty for a subgroup of 26 patients with medium- to large-sized and ptotic breasts who are candidates for conservative surgery. Methods In this series of patients, the choice between different techniques of breast reduction (superior or inferior pedicled or with free areola-nipple graft) depended only on cancer position. The chosen technique minimized reshaping and displacement of residual glandular flaps. In September 2009, the radiotherapists at the Institute began to apply intraoperative radiotherapy (IORT) to early breast cancer, and at the time of this report, more than 200 patients have been treated. Results This report describes two cases of reduction mammaplasty associated with this new and easily performed radiotherapy option (IORT) and discusses its advantages and cautions. Conclusions Close collaboration between surgical oncologist, plastic surgeon, and radiotherapist is essential before and during surgery to obtain adequate tumor resection and good aesthetic results and to minimize postoperative complications.

Original languageEnglish
Pages (from-to)1180-1183
Number of pages4
JournalAesthetic Plastic Surgery
Volume35
Issue number6
DOIs
Publication statusPublished - Dec 2011

Keywords

  • Conservative surgery
  • Intraoperative radiotherapy
  • IORT
  • Oncoplastic techniques

ASJC Scopus subject areas

  • Surgery

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