Surgical technology in the organ-saving treatment of patients with breast cancer

Volchenko A.A.

Moskovskiĭ nauchno-issledovatel'skiĭ onkologicheskiĭ institut im. P.A. Gertsena;
Kafedra onkologii i radioterapii FPP OV Pervogo Moskovskogo gosudarstvennogo meditsinskogo universiteta im. I.M. Sechenova

Pak D.D.

FGBU "Moskovskiĭ nauchno-issledovatel'skiĭ onkologicheskiĭ institut im. P.A. Gertsena" Minzdravsotsrazvitiia Rossii

Surgical technology in the organ-saving treatment of patients with breast cancer

Authors:

Volchenko A.A., Pak D.D.

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Journal: P.A. Herzen Journal of Oncology. 2013;2(3): 48‑51

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To cite this article:

Volchenko AA, Pak DD. Surgical technology in the organ-saving treatment of patients with breast cancer. P.A. Herzen Journal of Oncology. 2013;2(3):48‑51. (In Russ.)

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Organ-saving operations are of considerable current use in cancer surgery practice to treat patients with detected early-stage breast cancer (BC). Individualized plastic surgery procedures that are incontrary to the principles of oncology and at the same time help patients meet their aesthetic demands are one of the principles of cancer plastic surgery. Fifty-two patients with BC received organ-saving treatment with their breast tissue remodulation; 27 (51.9%) of them underwent organ-saving surgery by repositioning the nipple-areolar complex on an inferior glandular pedicle when the tumor was located in the upper quadrants; 13 (25.0%) patients did this by applying an superior glandular pedicle when the tumor was located in the lower quadrants; 8 (15.4%) were operated on via simple volume replacement and 4 (7.7%) were by employing the subcutaneous flap of the latissimus dorsi. The breast tissue remained after resection and the nipple-areolar complex on a glandular pedicle was a main plastic material used for breast reconstruction. Twenty-two patients were followed up within 2 years after surgery. Survival in Stage 1 BC was 96.6%; no local recurrence cases were seen throughout the follow-up.

Keywords:

breast cancer

plastic reconstructive operations

organ-saving treatment

Authors:

Volchenko A.A.

Pak D.D.

FGBU "Moskovskiĭ nauchno-issledovatel'skiĭ onkologicheskiĭ institut im. P.A. Gertsena" Minzdravsotsrazvitiia Rossii

List of references:

Sarrazin D., Le M., Rouesse J., Petit J., Lacour J., Hill C. Conservative treatment versus mastectomy in breast cancer tumours with macroscopuc diameter of 20 mm or less. The experience of the Institut Gustave-Roussy. Cancer. 1984; 53: 1209-16.
Veronesi U., Saccozzi R., Delvecchio M. Comparing radical mastectomy with quadrantectomy,axillary dissection and radiotherapy in patients with small cancers of breast. N. Engl. J. Med. 1981; 305: 6-12.
Asgeirsson K.S., Rasheed T., McCulley S.J., Macmillan R.D. Oncological and cosmetic outcomes of oncoplastic breast conserving surgery. Eur. J. Surg. Oncol. 2005; 31: 817-23.
Munhoz A.M., Montag E., Fels K.W., Arruda E.G., Sturtz G.P., Aldrighi C. et al. Outcome analysis of breast-conservation surgery and immediate latissimus dorsi flap reconstruction in patients with T1 to T2 breast cancer. Plast. Reconstr. Surg. 2005; 116: 741-52.
Munhoz A.M., Montag E., Arruda E.G., Aldrighi C., Gemperli R., Aldrighi J.M., Ferreira M.C. Critical analysis of reduction mammaplasty techniques in combination with conservative breast surgery for early breast cancer treatment. Plast. Reconst. Surg. 2005; 117: 1091-103.
Munhoz A.M., Montag E., Arruda E.G., Aldrighi C., Gemperli R., Aldrighi J.M., Ferreira M.C. The role of the lateral thoracodorsal fasciocutaneous flap in immediate conservative breast surgery reconstruction. Plast. Reconstr. Surg. 2005; 117: 1699-710.
Munhoz A.M., Aldrighi C., Ferreira M.C. Paradigms in oncoplastic breast surgery: a careful assessment of the oncological need and aesthetic objective. Breast J. 2007; 13 (3): 326-7.
Munhoz A.M., Aldrighi C. Determining the optimal approach to breast reconstruction after partial mastectomy. Plast. Reconstr. Surg. 2005; 118: 813-4.
Newman L.A., Kuerer H.M., McNeese M.D., Hunt K.K., Gurtner G.C., Vlastos G.S. et al. Reduction mammoplasty improves breast conservation therapy in patients with macromastia. Am. J. Surg. 2001; 181: 215-9.
Nogushi M., Taniya T., Miyazaki I., Saito Y. Immediate transposition of a latissimus dorsi muscle for correcting a postquadrantectomy breast deformity in Japanese patient. Int. Surg. 1990; 75: 166-72.
Slavin S.A., Halperin T. Reconstruction of the breast conservation deformity. Semin. Plast. Surg. 2004; 18 (2): 89-96.
Clough K.B., Kroll S.S., Audretsch W. An approach to the repair of partial mastectomy defects. Plast. Reconstr. Surg. 1999; 104: 409-20.
Shrotria S. Techniques for improving the cosmetic outcome of breast conserving surgery. Eur. J. Surg. Oncol. 2001; 27: 109-12.
Petit J.Y., Rietjens M., Contesso G., Bertin F., Gilles R. Contralateral mastoplasty for breast reconstruction: a good opportunity for glandular exploration and occult carcinom diagnosis. Ann. Surg. Oncol. 1997; 4: 511-8.
Tachi M., Yamada A. Choice of flaps for breast reconstruction. Int. J. Clin. Oncol. 2005; 10: 289-97.

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