tailieunhanh - Ebook Oncoplastic breast surgery - A guide to clinical practice (2/E): Part 2

Part 2 book “Oncoplastic breast surgery - A guide to clinical practice” has contents: Retroareolar breast cancer treated with central quadrantectomy, nipple-sparing mastectomy and immediate implant reconstruction with a mesh, nipple-sparing mastectomy and immediate implant-based reconstruction with a tiloop bra mesh, and other contents. | 34 Breast Conservation Surgery: The B Plasty, Involved Margins, Skin-Sparing Mastectomy a b c d e Fig. (a–f) A 67-year-old patient underwent breast conservation surgery using a B plasty for a 30 mm lobular cancer (receptor positive, HER2 negative, Ki 67: 20 %, G2) in the upper outer quadrant of the left breast. The sentinel node was positive, and an axillary dissection was performed (2 positive lymph nodes out of 15). Re-excision was necessary due to involved margins with intraductal carcinoma in situ. The breast was of medium size with no ptosis and a good cosmetic result after quadrantectomy 139 f (a, b). A skin-sparing mastectomy with immediate reconstruction with a latissimus dorsi flap and an implant was performed. The flap was de-epithelialized except a skin island as a substitute for the areola (c, d). The postoperative cosmetic result 4 years after surgery was excellent with good size and ptosis of the reconstructed breast and symmetry to the contralateral breast (e, f). Reconstruction of the NAC was declined by the patient Part VII Breast Conserving Oncoplastic Techniques: Central Resection Central Quadrantectomy and Reconstruction of the Nipple-Areola Complex with a De-epithelialized InferiorBased Pedicle with a Skin Island 35 Peter Schrenk The Patient A 62-year-old woman was diagnosed (open biopsy) with Paget carcinoma of the left nippleareola complex (NAC). Mammography and breast MRI revealed suspicious microcalcifications 30 mm in size solely behind the nipple. Vacuum needle biopsy found intraductal carcinoma in situ of intermediate grade. Breast conservation surgery was suggested and planned as a central quadrantectomy. The patient had a large and ptotic breast (Fig. –c). Surgery Central quadrantectomy was performed as part of an inferior-based pedicle reduction mammoplasty with a resection volume of 1,150 g. The inferior pedicle was de-epithelialized except a small skin island, which was used for .

• Y khoa - Dược
• Oncoplastic breast surgery
• Clinical practice
• Retroareolar breast cancer treated
• Nipple sparing mastectomy
• Immediate implant based reconstruction
• Round block lumpectomy
• doughnut lumpectomy
• Batwing quadrantectomy
• Inferior rotation flap
• BMC Cancer
• Local control rate
• Oncoplastic surgery
• Adjuvant radiotherapy
• Boost definition
• Breast conserving therapy
• Breast conserving surgery
• Breast cancer
• Quality of life
• Cosmetic result
• Patient reported outcomes