Therapeutic reduction mammoplasty in large-breasted women with cancer using superior and superomedial pedicles

Adel Denewer,1 Fayez Shahatto,1 Waleed Elnahas,1 Omar Farouk,1 Sameh Roshdy,1 Ashraf Khater,1 Osama Hussein,1 Saleh Teima,2 Mohammed Hafez,1 Samir Zidan,1 Nazem Shams,1 Sherif Kotb11Surgical Oncology Department, Oncology Center, 2Clinical Oncology and Nuclear Medicine Department, Mansoura University...

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Autores principales:	Denewer A, Shahatto F, Elnahas W, Farouk O, Roshdy S, Khater A, Hussein O, Teima S, Hafez M, Zidan S, Shams N, Kotb S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
Acceso en línea:	https://doaj.org/article/1a24392d1e9d4a3e97fe6904f9f808ec
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spelling	oai:doaj.org-article:1a24392d1e9d4a3e97fe6904f9f808ec2021-12-02T01:08:57ZTherapeutic reduction mammoplasty in large-breasted women with cancer using superior and superomedial pedicles1179-1314https://doaj.org/article/1a24392d1e9d4a3e97fe6904f9f808ec2012-10-01T00:00:00Zhttp://www.dovepress.com/therapeutic-reduction-mammoplasty-in-large-breasted-women-with-cancer--a11365https://doaj.org/toc/1179-1314Adel Denewer,1 Fayez Shahatto,1 Waleed Elnahas,1 Omar Farouk,1 Sameh Roshdy,1 Ashraf Khater,1 Osama Hussein,1 Saleh Teima,2 Mohammed Hafez,1 Samir Zidan,1 Nazem Shams,1 Sherif Kotb11Surgical Oncology Department, Oncology Center, 2Clinical Oncology and Nuclear Medicine Department, Mansoura University, Mansoura, EgyptBackground: Surgical management of breast cancer in large-breasted women presents a real challenge. This study aims to evaluate the outcome of therapeutic reduction mammoplasty in large-breasted women with breast cancer using superior and superomedial pedicles, situated at any breast quadrant except for the central and upper medial quadrants.Methods: Fifty women with breast cancer and large breasts underwent simultaneous bilateral reduction mammoplasty. The weight of the tissue removed ranged from 550 g to 1050 g and the tumor-free safety margins by frozen section were in the range of 4 cm to 12 cm.Results: The age of the patients ranged from 36 to 58 (median 43) years and tumor size ranged from 1 cm to 4 cm. The cosmetic outcomes were excellent in 32 patients (64%), good in 15 (30%) patients, and fair in three patients (6%). The follow-up period was 8&ndash;36 (mean 20) months, with no local recurrence or systemic metastasis.Conclusion: Therapeutic reduction mammoplasty using superior and superomedial pedicles was shown to be oncologically safer than traditional conservative surgery. This oncoplastic procedure yields a satisfactory esthetic outcome with lower morbidity in large-breasted women with breast cancer.Keywords: breast cancer, oncoplastic surgery, reduction mammoplasty, conservation surgeryDenewer AShahatto FElnahas WFarouk ORoshdy SKhater AHussein OTeima SHafez MZidan SShams NKotb SDove Medical PressarticleNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENBreast Cancer: Targets and Therapy, Vol 2012, Iss default, Pp 167-172 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
spellingShingle	Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282 Denewer A Shahatto F Elnahas W Farouk O Roshdy S Khater A Hussein O Teima S Hafez M Zidan S Shams N Kotb S Therapeutic reduction mammoplasty in large-breasted women with cancer using superior and superomedial pedicles
description	Adel Denewer,1 Fayez Shahatto,1 Waleed Elnahas,1 Omar Farouk,1 Sameh Roshdy,1 Ashraf Khater,1 Osama Hussein,1 Saleh Teima,2 Mohammed Hafez,1 Samir Zidan,1 Nazem Shams,1 Sherif Kotb11Surgical Oncology Department, Oncology Center, 2Clinical Oncology and Nuclear Medicine Department, Mansoura University, Mansoura, EgyptBackground: Surgical management of breast cancer in large-breasted women presents a real challenge. This study aims to evaluate the outcome of therapeutic reduction mammoplasty in large-breasted women with breast cancer using superior and superomedial pedicles, situated at any breast quadrant except for the central and upper medial quadrants.Methods: Fifty women with breast cancer and large breasts underwent simultaneous bilateral reduction mammoplasty. The weight of the tissue removed ranged from 550 g to 1050 g and the tumor-free safety margins by frozen section were in the range of 4 cm to 12 cm.Results: The age of the patients ranged from 36 to 58 (median 43) years and tumor size ranged from 1 cm to 4 cm. The cosmetic outcomes were excellent in 32 patients (64%), good in 15 (30%) patients, and fair in three patients (6%). The follow-up period was 8&ndash;36 (mean 20) months, with no local recurrence or systemic metastasis.Conclusion: Therapeutic reduction mammoplasty using superior and superomedial pedicles was shown to be oncologically safer than traditional conservative surgery. This oncoplastic procedure yields a satisfactory esthetic outcome with lower morbidity in large-breasted women with breast cancer.Keywords: breast cancer, oncoplastic surgery, reduction mammoplasty, conservation surgery
format	article
author	Denewer A Shahatto F Elnahas W Farouk O Roshdy S Khater A Hussein O Teima S Hafez M Zidan S Shams N Kotb S
author_facet	Denewer A Shahatto F Elnahas W Farouk O Roshdy S Khater A Hussein O Teima S Hafez M Zidan S Shams N Kotb S
author_sort	Denewer A
title	Therapeutic reduction mammoplasty in large-breasted women with cancer using superior and superomedial pedicles
title_short	Therapeutic reduction mammoplasty in large-breasted women with cancer using superior and superomedial pedicles
title_full	Therapeutic reduction mammoplasty in large-breasted women with cancer using superior and superomedial pedicles
title_fullStr	Therapeutic reduction mammoplasty in large-breasted women with cancer using superior and superomedial pedicles
title_full_unstemmed	Therapeutic reduction mammoplasty in large-breasted women with cancer using superior and superomedial pedicles
title_sort	therapeutic reduction mammoplasty in large-breasted women with cancer using superior and superomedial pedicles
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/1a24392d1e9d4a3e97fe6904f9f808ec
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Therapeutic reduction mammoplasty in large-breasted women with cancer using superior and superomedial pedicles

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