Oncoplastic resection with trasferred perforator flaps for breast cancer patients with small/moderate volume breasts
- Authors: Shatova Y.S1, Vashchenko LN1, Maksimova NA1, Chernikova EN1, Ratieva AS1
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Affiliations:
- Rostov Research Institute of Oncology
- Issue: Vol 101, No 1 (2020)
- Pages: 119-123
- Section: Clinical experiences
- URL: https://bakhtiniada.ru/kazanmedj/article/view/20395
- DOI: https://doi.org/10.17816/KMJ2020-119
- ID: 20395
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Abstract
Aim. To analyze the results of oncoplastic resection with local perforator flaps for breast cancer patients with small/moderate volume breasts.
Methods. The study uncluded 31 patients undergoing oncoplastic resection with LICAP/LTAP and AIAP/MICAP flaps. Inclusion criteria: histologically confirmed breast cancer, cT1c–2N0–1M0 stage, small/moderate volume breasts, perforator presence according to Doppler ultrasound, color and energy ultrasound with linear array probe (4–18 MHz), and the patient’s desire to have the breast-conserving surgery. Exclusion criteria: large volume of breast, cT ≥3, cN ≥2, M1.
Results. LICAP-flaps were used in 19 (61.3%) cases, AIAP in 7 (22.6%) cases and LTAP-flap in 5 (16.1%) cases. Average flap width was 8.9±1.2 cm, average length 21.1±2.1 cm. In all cases the surgical margins were clear. Mean follow-up was 17.4 months. Complications occurred in 1 (3.2%) patient (hematoma with positive dynamics on conservative treatment). The necessary symmetry was achieved in 1 step in all cases. 30 (96.8%) patients were completely satisfied with the aesthetic results (excellent and good).
Conclusion. Oncoplastic resection with transferred perforator flaps can be successfully used for breast cancer patients with small/moderate volume breasts; the method does not require symmetrisation surgery, has minimum of complications and allows achieving good esthetic result.
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##article.viewOnOriginalSite##About the authors
Yu S Shatova
Rostov Research Institute of Oncology
Author for correspondence.
Email: shat5@rambler.ru
Russian Federation, Rostov-on-Don, Russia
L N Vashchenko
Rostov Research Institute of Oncology
Email: shat5@rambler.ru
Russian Federation, Rostov-on-Don, Russia
N A Maksimova
Rostov Research Institute of Oncology
Email: shat5@rambler.ru
Russian Federation, Rostov-on-Don, Russia
E N Chernikova
Rostov Research Institute of Oncology
Email: shat5@rambler.ru
Russian Federation, Rostov-on-Don, Russia
A S Ratieva
Rostov Research Institute of Oncology
Email: shat5@rambler.ru
Russian Federation, Rostov-on-Don, Russia
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