Safety and esthetic outcomes of therapeutic mammoplasty using medial pedicle for early breast cancer

Sameh Roshdy,1 Osama Hussein,1 Ashraf Khater,1 Mohammad Zuhdy,1 Hend A El-Hadaad,2 Omar Farouk,1 Ahmad Senbel,1 Adel Fathi,1 Emadeldeen Hamed,1 Adel Denewer1 1Department of Surgical Oncology, Mansoura Oncology Center, 2Department of Clinical Oncology and Nuclear Medicine, Faculty of Medicine, Mansou...

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Autores principales:	Roshdy S, Hussein O, Khater A, Zuhdy M, El-Hadaad HA, Farouk O, Senbel A, Fathi A, Hamed E, Denewer A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Neoplasms. Tumors. Oncology. Including cancer and carcinogens RC254-282
Acceso en línea:	https://doaj.org/article/44576b432e9e46b5a5f9473071af1043
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spelling	oai:doaj.org-article:44576b432e9e46b5a5f9473071af10432021-12-02T00:50:47ZSafety and esthetic outcomes of therapeutic mammoplasty using medial pedicle for early breast cancer1179-1314https://doaj.org/article/44576b432e9e46b5a5f9473071af10432015-07-01T00:00:00Zhttp://www.dovepress.com/safety-and-esthetic-outcomes-of-therapeutic-mammoplasty-using-medial-p-peer-reviewed-article-BCTThttps://doaj.org/toc/1179-1314Sameh Roshdy,1 Osama Hussein,1 Ashraf Khater,1 Mohammad Zuhdy,1 Hend A El-Hadaad,2 Omar Farouk,1 Ahmad Senbel,1 Adel Fathi,1 Emadeldeen Hamed,1 Adel Denewer1 1Department of Surgical Oncology, Mansoura Oncology Center, 2Department of Clinical Oncology and Nuclear Medicine, Faculty of Medicine, Mansoura University, Mansoura, Egypt Background: Although therapeutic mammoplasty (TM) was introduced for treatment of localized ductal carcinoma in situ and invasive breast carcinoma (stages I and II) in females with large breast size, the suitability of medial pedicle TM for treatment of breast tumors at different locations has not been established. The objective of this study was to assess the safety and esthetic outcome of medial pedicle TM for breast tumors at different locations. Methods: The study was conducted from February 2012 to July 2014. Consecutive patients with early breast carcinoma with medium- and large-sized breasts, with or without ptosis, who were offered medial pedicle TM were included in the study. Patients who were not candidates for breast-conserving surgery or those with tumors located along the medial pedicle were excluded. All patients received immediate postoperative adjuvant chemoradiotherapy. Results: Thirty patients with a mean age of 48.5 years received medial pedicle TM in the breast harboring the tumor or, additionally, the other breast (N=14). The tumors were in the upper (60.0%), lower (26.7%), and lateral (13.3%) quadrants. Minor complications occurred in five cases (5/30, 16.7%) in the ipsilateral and in two (2/14, 14.3%) contralateral breasts. No wound dehiscence or areolar necrosis was recorded. A total of 22 (73.3%) patients were scored as excellent cosmesis. After a median follow-up of 20 months, no locoregional recurrence or distant metastases were observed. Conclusion: TM using a medial pedicle is a safe and appealing technique among women with tumors at different locations. Keywords: therapeutic mammoplasty, medial pedicle, breast cancer, mastectomyRoshdy SHussein OKhater AZuhdy MEl-Hadaad HAFarouk OSenbel AFathi AHamed EDenewer ADove Medical PressarticleNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENBreast Cancer: Targets and Therapy, Vol 2015, Iss default, Pp 173-178 (2015)
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 Roshdy S Hussein O Khater A Zuhdy M El-Hadaad HA Farouk O Senbel A Fathi A Hamed E Denewer A Safety and esthetic outcomes of therapeutic mammoplasty using medial pedicle for early breast cancer
description	Sameh Roshdy,1 Osama Hussein,1 Ashraf Khater,1 Mohammad Zuhdy,1 Hend A El-Hadaad,2 Omar Farouk,1 Ahmad Senbel,1 Adel Fathi,1 Emadeldeen Hamed,1 Adel Denewer1 1Department of Surgical Oncology, Mansoura Oncology Center, 2Department of Clinical Oncology and Nuclear Medicine, Faculty of Medicine, Mansoura University, Mansoura, Egypt Background: Although therapeutic mammoplasty (TM) was introduced for treatment of localized ductal carcinoma in situ and invasive breast carcinoma (stages I and II) in females with large breast size, the suitability of medial pedicle TM for treatment of breast tumors at different locations has not been established. The objective of this study was to assess the safety and esthetic outcome of medial pedicle TM for breast tumors at different locations. Methods: The study was conducted from February 2012 to July 2014. Consecutive patients with early breast carcinoma with medium- and large-sized breasts, with or without ptosis, who were offered medial pedicle TM were included in the study. Patients who were not candidates for breast-conserving surgery or those with tumors located along the medial pedicle were excluded. All patients received immediate postoperative adjuvant chemoradiotherapy. Results: Thirty patients with a mean age of 48.5 years received medial pedicle TM in the breast harboring the tumor or, additionally, the other breast (N=14). The tumors were in the upper (60.0%), lower (26.7%), and lateral (13.3%) quadrants. Minor complications occurred in five cases (5/30, 16.7%) in the ipsilateral and in two (2/14, 14.3%) contralateral breasts. No wound dehiscence or areolar necrosis was recorded. A total of 22 (73.3%) patients were scored as excellent cosmesis. After a median follow-up of 20 months, no locoregional recurrence or distant metastases were observed. Conclusion: TM using a medial pedicle is a safe and appealing technique among women with tumors at different locations. Keywords: therapeutic mammoplasty, medial pedicle, breast cancer, mastectomy
format	article
author	Roshdy S Hussein O Khater A Zuhdy M El-Hadaad HA Farouk O Senbel A Fathi A Hamed E Denewer A
author_facet	Roshdy S Hussein O Khater A Zuhdy M El-Hadaad HA Farouk O Senbel A Fathi A Hamed E Denewer A
author_sort	Roshdy S
title	Safety and esthetic outcomes of therapeutic mammoplasty using medial pedicle for early breast cancer
title_short	Safety and esthetic outcomes of therapeutic mammoplasty using medial pedicle for early breast cancer
title_full	Safety and esthetic outcomes of therapeutic mammoplasty using medial pedicle for early breast cancer
title_fullStr	Safety and esthetic outcomes of therapeutic mammoplasty using medial pedicle for early breast cancer
title_full_unstemmed	Safety and esthetic outcomes of therapeutic mammoplasty using medial pedicle for early breast cancer
title_sort	safety and esthetic outcomes of therapeutic mammoplasty using medial pedicle for early breast cancer
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/44576b432e9e46b5a5f9473071af1043
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Safety and esthetic outcomes of therapeutic mammoplasty using medial pedicle for early breast cancer

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