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Published: 2022-03-08
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DOI: https://doi.org/10.52852/tcncyh.v150i2.706
Issue
Vol. 150 No. 2 (2022)
Section
Các bài báo
How to Cite
Dũng, H. A., Quang, L. H., & Quảng, L. V. (2022). Short-term outcomes of breast conservative treatment with inverted-t technique. Journal of Medical Research, 150(2), 154-165. https://doi.org/10.52852/tcncyh.v150i2.706 (Original work published February 22, 2022)

Short-term outcomes of breast conservative treatment with inverted-t technique

Hoang Anh Dung, Le Hong Quang, Le Van Quang

Main Article Content

Abstract

The study evaluated surgical early results of 37 breast cancer patients who underwent breast-conserving surgery using inverted-T technique at K hospital from 2017 to 2020. The average age of the patients was 47 years old. More than 70% of patients has C or D bra cups. The mean BMI was 24.3. The average operation time was 130 minutes while the average operation time was 152 minutes for contralateral balancing surgery. The average breast volume removed was 326cm3 with the maximum volume up to 2100 cm3. There were 3 cases in which the first positive resection margin had to be extended immediately, 1 patient had to be re-operated to excise the resection margin again. In terms of aesthetic, 34 patients (91.9%) had beautiful and good aesthetic outcomes; 1 year later, this rate decreased to 86.5%. Complications were recorded as low (10.8%) mostly mild including haemorrhage (1), seroma (1), fat necrosis (1), slow healing wound (1), no complication of nipple-areolar complex necrosis. The inverted-T reduction mammaplasty technique is applied in breast-conserving surgery for patients with breast hypertrophy, multifocal tumors or in difficult locations such as the inner lower or inner upper quadrants of the breast. The technique is relatively safe with low complication rates, mild complications, and good results in terms of aesthetics and oncology.

Article Details

Keywords

Breast-conserving surgery, Oncoplastic surgery, Inverted-T technique, Breast cancer

References

1. Jamison KR, Wellisch DK, Pasnau RO. Psychosocial aspects of mastectomy: I. the women’s perspective. The American journal of psychiatry. 1978;135(4):432-436.
2. Kaminska M, Ciszewski T, Kukielka-Budny B, et al. Life quality of women with breast cancer after mastectomy or breast conserving therapy treated with adjuvant chemotherapy. Ann Agric Environ Med. 2015;22(4):724-730.
3. Veronesi U, Cascinelli N, Mariani L, et al. Twenty-year follow-up of a randomized study comparing breast-conserving surgery with radical mastectomy for early breast cancer. N Engl J Med. 2002;347(16):1227-1232.
4. Bertozzi N, Pesce M, Santi PL, Raposio E. Oncoplastic breast surgery: comprehensive review. European review for medical and pharmacological sciences. 2017;21(11):2572-2585.
5. Malycha PL, Gough IR, Margaritoni M, et al. Oncoplastic breast surgery: a global perspective on practice, availability, and training. World journal of surgery. 2008;32(12):2570-2577.
6. Wise RJ. A preliminary report on a method of planning the mammaplasty. Plastic and reconstructive surgery (1946). 1956;17(5):367-375.
7. Lowery JC, Wilkins EG, Kuzon WM, Davis JA. Evaluations of aesthetic results in breast reconstruction: an analysis of reliability. Annals of plastic surgery. 1996;36(6):601-606; discussion 607.
8. Caruso F, Catanuto G, De Meo L, et al. Outcomes of bilateral mammoplasty for early stage breast cancer. European journal of surgical oncology: the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology. 2008;34(10):1143-1147.
9. Acea-Nebril B, Cereijo-Garea C, García-Novoa A, et al. The role of oncoplastic breast reduction in the conservative management of breast cancer: Complications, survival, and quality of life. Journal of surgical oncology. 2017;115(6):679-686.
10. Kim MW, Oh WS, Lee JW, et al. Comparison of breast volume change between oncoplastic breast-conserving surgery with radiation therapy and a simultaneous contralateral balancing procedure through the inverted-T scar technique. Arch Plast Surg. 2020;47(6):583-589.
11. Scott GR, Carson CL, Borah GL. Maximizing outcomes in breast reduction surgery: a review of 518 consecutive patients. Plast Reconstr Surg. 2005;116(6):1633-1639; discussion 1640-1631.
12. Setälä L, Papp A, Joukainen S, et al. Obesity and complications in breast reduction surgery: are restrictions justified? Journal of plastic, reconstructive & aesthetic surgery: JPRAS. 2009;62(2):195-199.
13. Atterhem H, Holmner S, Janson PE. Reduction mammaplasty: symptoms, complications, and late results. A retrospective study on 242 patients. Scandinavian journal of plastic and reconstructive surgery and hand surgery. 1998;32(3):281-286.
14. Munhoz AM, Montag E, Arruda EG, et al. Critical analysis of reduction mammaplasty techniques in combination with conservative breast surgery for early breast cancer treatment. Plast Reconstr Surg. 2006;117(4):1091-1103; discussion 1104-1097.
15. Gamboa-Bobadilla GM, Killingsworth C. Large-volume reduction mammaplasty: the effect of body mass index on postoperative complications. Annals of plastic surgery. 2007;58(3):246-249.