Techniques for Reconstruction of Partial Breast Defects after Breast-Conserving Surgery in Breast Cancer_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

ZHU Jiang , KANG Hua

Department of General Surgery， Xuanwu Hospital， Capital Medical University， Beijing 100053，China;

Corresponding author：

Keywords：

Breast cancer; Breast-conserving surgery; Breast defect; Oncoplastic technique

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective 　To summarize the techniques for reconstruction of partial breast defects after breast-conserving surgery in breast cancer.
Methods 　The relevant literatures were reviewed and the oncoplastic techniques and their surgical indications, incision selection, advantages， and disadvantages were summarized.
Results 　Kinds of poor aesthetic outcomes still exist in some patients after breast-conserving surgery due to the breast deformity. How to choose the surgical incision and repair breast defects after tumor resection so as to obtain better cosmetic outcomes is still a focus of breast-conserving surgery. Oncoplastic techniques can not only achieve safe cancer treatments but also have satisfactory aesthetic outcomes.
Conclusions 　Oncoplastic techniques in the breast conservative therapy for early stage breast cancer is a safe and effective procedure， with highly satisfactory cosmetic outcomes in the majority of patients..

Citation： ZHU Jiang,KANG Hua,.. Techniques for Reconstruction of Partial Breast Defects after Breast-Conserving Surgery in Breast Cancer. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2012, 19(7): 799-804. doi: Copy

1.	Veronesi U， Salvadori B， Luini A， et al. Conservative treatment of early breast cancer：long-term results of 1 232 cases treated with quadrantectomy， axillary dissection， and radiotherapy [J].Ann Surg， 1990， 211(3)：250-259.
2.	Yu KD， Di GH， Wu J， et al. Development and trends of surgical modalities for breast cancer in China： a review of 16-year data[ J].Ann Surg Oncol， 2007， 14(9)：2502-2509.
3.	Veronesi U， Cascinelli N， Mariani L， et al. Twenty-year followup of a randomized study comparing breast-conserving surgery with radical mastectomy for early breast cancer [J]. N Engl J Med， 2002， 347(16)：1227-1232.
4.	Chan SW， Cheung PS， Lam SH. Cosmetic outcome and percentage of breast volume excision in oncoplastic breast conserving surgery [J]. World J Surg， 2010， 34(7)：1447-1452.
5.	Klassen AF， Pusic AL， Scott A， et al. Satisfaction and quality of life in women who undergo breast surgery：a qualitative study [J]. BMC Womens Health， 2009， 9：11-19.
6.	Veiga DF， Veiga-Filho J， Ribeiro LM， et al. Quality-of-life and self-esteem outcomes after oncoplastic breast-conserving surgery [J]. Plast Reconstr Surg. 2010， 125(3)：811-817.
7.	Tan M， Ung O. Alternative approaches for oncoplastic breast surgery [J]. Ann Surg Oncol， 2011， 18(1)：297-299.
8.	马银斌，王彦铭，李伟，等. 乳晕切口及残腔无缝合技术在乳腺良性肿块切除术中的应用 [J]. 中国美容医学， 2010， 19(5)：3-4.
9.	Veiga DF， Veiga-Filho J， Ribeiro LM， et al. Evaluations of aesthetic outcomes of oncoplastic surgery by surgeons of different gender and specialty：a prospective controlled study [J]. Breast，2011， 20(5)： 407-412.
10.	Fitoussi AD， Berry MG， Famà F， et al. Oncoplastic breast surgery for cancer：analysis of 540 consecutive cases [outcomes article] [J]. Plast Reconstr Surg， 2010， 125(2)：454-462.
11.	Chakravorty A， Shrestha AK， Sanmugalingam N， et al. How safe is oncoplastic breast conservation? Comparative analysiswith standard breast conserving surgery [J]. Eur J Surg Oncol，2012， 38(5)：395-398.
12.	Yang JD， Lee JW， Kim WW， et al. Oncoplastic surgical techniques for personalized breast conserving surgery in breast cancer patient with small to moderate sized breast [J]. J Breast Cancer，2011， 14(4)：253-261.
13.	Meretoja TJ， Svarvar C， Jahkola TA， et al. Outcome of oncoplastic breast surgery in 90 prospective patients [J]. Am J Surg，2010， 200(2)：224-228.
14.	康骅，朱江，海涛，等. 乳房整形技术在乳腺癌保乳手术中的应用体会 [J]. 中国普外基础与临床杂志， 2011， 18(9)：917-921.
15.	Urban C， Lima R， Schunemann E， et al. Oncoplastic principles in breast conserving surgery [J]. Breast， 2011， 20 Suppl 3：S92-S95.
16.	Gainer SM， Lucci A. Oncoplastics： techniques for reconstruction of partial breast defects based on tumor location [J]. J Surg Oncol，2011， 103(4)：341-347.
17.	Clough KB， Soussaline M， Campana F， et al. Mammoplasty combined with irradiation：conservative treatment of breast cancer localized in the lower quadrant [J]. Ann Chir Plast Esthet， 1990，35(2)：117-122.
18.	Lassus C. A 30-year experience with vertical mammaplasty [J].Plast Reconstr Surg， 1996， 97(2)：373-380.
19.	Clough KB， Kaufman GJ， Nos C， et al. Improving breast cancer surgery：a classification and quadrant per quadrant atlas for oncoplastic surgery [J]. Ann Surg Oncol， 2010， 17(5)：1375-1391.
20.	Benelli L. A New periareolar mammaplasty：the “round block”technique [J]. Aesthetic Plast Surg， 1990， 14(2)：93-100.
21.	Robbins TH. A reduction mammaplasty with the areola-nipple based on an inferior dermal pedicle [J]. Plast Reconstr Surg，1977， 59(1)：64-67.
22.	Anderson BO， Masetti R， Silverstein MJ. Oncoplastic approaches to partial mastectomy：an overview of volume-displacement techniques [J]. Lancet Oncol， 2005， 6(3)：145-157.
23.	Pennisi VR. Making a definite inframammary fold under a reconstructed breast [J]. Plast Reconstr Surg， 1977， 60(4)：523-525.
24.	Kijima Y， Yoshinaka H， Hirata M， et al. Immediate reconstruction using a modified thoracodorsal adipofascial cutaneous flap after partial mastectomy [J]. Breast， 2011， 20(5)：464-467.
25.	Ogawa T， Hanamura N， Yamashita M， et al. Long-term results of breast volume replacement using an inframammary adipofascial flap after breast-conserving surgery [J]. Breast Cancer， 2011 Jun28. [ Epub ahead of print].
26.	Kijima Y， Yoshinaka H， Owaki T， et al. Immediate reconstruction using inframammary adipofascial flap of the anterior rectus sheath after partial mastectomy [J]. Am J Surg， 2007， 193(6)：789-791.
27.	Aljarrah A， Nos C， Nasr R， et al. Updated follow-up of patients treated with the oncoplastic “Crescent” technique for breast cancer [J]. Breast， 2011 Dec 18. [ Epub ahead of print].
28.	Schneider WJ， Hill HL Jr， Brown RG. Latissimus dorsi myocutaneous flap for breast reconstruction [J]. Br J Plast Surg， 1977，30(4)：277-281.
29.	Spiegel AJ， Eldor L. Partial breast reconstruction with mini superficial inferior epigastric artery and mini deep inferior epigastric perforator flaps [J]. Ann Plast Surg， 2010， 65(2)：147-154.
30.	McCulley SJ， Macmillan RD， Rasheed T. Transverse upper gracilis (TUG) flap for volume replacement in breast conserving surgery for medial breast tumours in small to medium sized breasts [J]. J Plast Reconstr Aesthet Surg， 2011， 64(8)：1056-1060.
31.	Fattah A， Figus A， Mathur B， et al. The transverse myocutaneous gracilis flap：technical refinements [J]. J Plast Reconstr Aesthet Surg， 2010， 63(2)：305-313.
32.	Lee J， Bae Y， Audretsch W. Combination of two local flaps for large defects after breast conserving surgery [J]. Breast， 2012，21(2)：194-198.
33.	Zaha H， Sunagawa H， Kawakami K， et al. Partial breast reconstruction for an inferomedial breast carcinoma using an omental flap [J]. World J Surg， 2010， 34(8)：1782-1787.
34.	Illouz YG， Sterodimas A. Autologous fat transplantation to the breast： a personal technique with 25 years of experience [J].Aesthetic Plast Surg， 2009， 33(5)：706-715.
35.	方彰林主编. 乳房美容整形外科手术学 [ M]. 北京出版社，1994：144-145.
36.	Patel KM， Hannan CM， Gatti ME， et al. A head-to-head comparison of quality of life and aesthetic outcomes following immediate，staged-immediate， and delayed oncoplastic reduction mammaplasty [J]. Plast Reconstr Surg， 2011， 127(6)：2167-2175.

1. Veronesi U， Salvadori B， Luini A， et al. Conservative treatment of early breast cancer：long-term results of 1 232 cases treated with quadrantectomy， axillary dissection， and radiotherapy [J].Ann Surg， 1990， 211(3)：250-259.
2. Yu KD， Di GH， Wu J， et al. Development and trends of surgical modalities for breast cancer in China： a review of 16-year data[ J].Ann Surg Oncol， 2007， 14(9)：2502-2509.
3. Veronesi U， Cascinelli N， Mariani L， et al. Twenty-year followup of a randomized study comparing breast-conserving surgery with radical mastectomy for early breast cancer [J]. N Engl J Med， 2002， 347(16)：1227-1232.
4. Chan SW， Cheung PS， Lam SH. Cosmetic outcome and percentage of breast volume excision in oncoplastic breast conserving surgery [J]. World J Surg， 2010， 34(7)：1447-1452.
5. Klassen AF， Pusic AL， Scott A， et al. Satisfaction and quality of life in women who undergo breast surgery：a qualitative study [J]. BMC Womens Health， 2009， 9：11-19.
6. Veiga DF， Veiga-Filho J， Ribeiro LM， et al. Quality-of-life and self-esteem outcomes after oncoplastic breast-conserving surgery [J]. Plast Reconstr Surg. 2010， 125(3)：811-817.
7. Tan M， Ung O. Alternative approaches for oncoplastic breast surgery [J]. Ann Surg Oncol， 2011， 18(1)：297-299.
8. 马银斌，王彦铭，李伟，等. 乳晕切口及残腔无缝合技术在乳腺良性肿块切除术中的应用 [J]. 中国美容医学， 2010， 19(5)：3-4.
9. Veiga DF， Veiga-Filho J， Ribeiro LM， et al. Evaluations of aesthetic outcomes of oncoplastic surgery by surgeons of different gender and specialty：a prospective controlled study [J]. Breast，2011， 20(5)： 407-412.
10. Fitoussi AD， Berry MG， Famà F， et al. Oncoplastic breast surgery for cancer：analysis of 540 consecutive cases [outcomes article] [J]. Plast Reconstr Surg， 2010， 125(2)：454-462.
11. Chakravorty A， Shrestha AK， Sanmugalingam N， et al. How safe is oncoplastic breast conservation? Comparative analysiswith standard breast conserving surgery [J]. Eur J Surg Oncol，2012， 38(5)：395-398.
12. Yang JD， Lee JW， Kim WW， et al. Oncoplastic surgical techniques for personalized breast conserving surgery in breast cancer patient with small to moderate sized breast [J]. J Breast Cancer，2011， 14(4)：253-261.
13. Meretoja TJ， Svarvar C， Jahkola TA， et al. Outcome of oncoplastic breast surgery in 90 prospective patients [J]. Am J Surg，2010， 200(2)：224-228.
14. 康骅，朱江，海涛，等. 乳房整形技术在乳腺癌保乳手术中的应用体会 [J]. 中国普外基础与临床杂志， 2011， 18(9)：917-921.
15. Urban C， Lima R， Schunemann E， et al. Oncoplastic principles in breast conserving surgery [J]. Breast， 2011， 20 Suppl 3：S92-S95.
16. Gainer SM， Lucci A. Oncoplastics： techniques for reconstruction of partial breast defects based on tumor location [J]. J Surg Oncol，2011， 103(4)：341-347.
17. Clough KB， Soussaline M， Campana F， et al. Mammoplasty combined with irradiation：conservative treatment of breast cancer localized in the lower quadrant [J]. Ann Chir Plast Esthet， 1990，35(2)：117-122.
18. Lassus C. A 30-year experience with vertical mammaplasty [J].Plast Reconstr Surg， 1996， 97(2)：373-380.
19. Clough KB， Kaufman GJ， Nos C， et al. Improving breast cancer surgery：a classification and quadrant per quadrant atlas for oncoplastic surgery [J]. Ann Surg Oncol， 2010， 17(5)：1375-1391.
20. Benelli L. A New periareolar mammaplasty：the “round block”technique [J]. Aesthetic Plast Surg， 1990， 14(2)：93-100.
21. Robbins TH. A reduction mammaplasty with the areola-nipple based on an inferior dermal pedicle [J]. Plast Reconstr Surg，1977， 59(1)：64-67.
22. Anderson BO， Masetti R， Silverstein MJ. Oncoplastic approaches to partial mastectomy：an overview of volume-displacement techniques [J]. Lancet Oncol， 2005， 6(3)：145-157.
23. Pennisi VR. Making a definite inframammary fold under a reconstructed breast [J]. Plast Reconstr Surg， 1977， 60(4)：523-525.
24. Kijima Y， Yoshinaka H， Hirata M， et al. Immediate reconstruction using a modified thoracodorsal adipofascial cutaneous flap after partial mastectomy [J]. Breast， 2011， 20(5)：464-467.
25. Ogawa T， Hanamura N， Yamashita M， et al. Long-term results of breast volume replacement using an inframammary adipofascial flap after breast-conserving surgery [J]. Breast Cancer， 2011 Jun28. [ Epub ahead of print].
26. Kijima Y， Yoshinaka H， Owaki T， et al. Immediate reconstruction using inframammary adipofascial flap of the anterior rectus sheath after partial mastectomy [J]. Am J Surg， 2007， 193(6)：789-791.
27. Aljarrah A， Nos C， Nasr R， et al. Updated follow-up of patients treated with the oncoplastic “Crescent” technique for breast cancer [J]. Breast， 2011 Dec 18. [ Epub ahead of print].
28. Schneider WJ， Hill HL Jr， Brown RG. Latissimus dorsi myocutaneous flap for breast reconstruction [J]. Br J Plast Surg， 1977，30(4)：277-281.
29. Spiegel AJ， Eldor L. Partial breast reconstruction with mini superficial inferior epigastric artery and mini deep inferior epigastric perforator flaps [J]. Ann Plast Surg， 2010， 65(2)：147-154.
30. McCulley SJ， Macmillan RD， Rasheed T. Transverse upper gracilis (TUG) flap for volume replacement in breast conserving surgery for medial breast tumours in small to medium sized breasts [J]. J Plast Reconstr Aesthet Surg， 2011， 64(8)：1056-1060.
31. Fattah A， Figus A， Mathur B， et al. The transverse myocutaneous gracilis flap：technical refinements [J]. J Plast Reconstr Aesthet Surg， 2010， 63(2)：305-313.
32. Lee J， Bae Y， Audretsch W. Combination of two local flaps for large defects after breast conserving surgery [J]. Breast， 2012，21(2)：194-198.
33. Zaha H， Sunagawa H， Kawakami K， et al. Partial breast reconstruction for an inferomedial breast carcinoma using an omental flap [J]. World J Surg， 2010， 34(8)：1782-1787.
34. Illouz YG， Sterodimas A. Autologous fat transplantation to the breast： a personal technique with 25 years of experience [J].Aesthetic Plast Surg， 2009， 33(5)：706-715.
35. 方彰林主编. 乳房美容整形外科手术学 [ M]. 北京出版社，1994：144-145.
36. Patel KM， Hannan CM， Gatti ME， et al. A head-to-head comparison of quality of life and aesthetic outcomes following immediate，staged-immediate， and delayed oncoplastic reduction mammaplasty [J]. Plast Reconstr Surg， 2011， 127(6)：2167-2175.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Techniques for Reconstruction of Partial Breast Defects after Breast-Conserving Surgery in Breast Cancer

Abstract Full text Figures/Tables Video References Cited by

Format

Content