Therapeutics Advances
Copyright ©The Author(s) 2015.
World J Surg Proced. Nov 28, 2015; 5(3): 217-222
Published online Nov 28, 2015. doi: 10.5412/wjsp.v5.i3.217
Figure 1
Figure 1 Distribution of the pattern incisions used in breast cancer patients treated using oncoplastic conservative approach at our unit.
Figure 2
Figure 2 A 40-year-old postmenopausal woman with an invasive ductal carcinoma with positive estrogenic, progesterone and Herb2 receptors situated at central quadrant of right breast which sized 15 mm on mammograms. A and B: Appearance of patient. Design of pattern of therapeutic reduction mammaplasty; C and D: Nipple areola complex right reconstructed by contralateral areola graft. Long-term aesthetic outcome.
Figure 3
Figure 3 Appearance of a 49-year-old woman after underwent oncoplastic breast conserving surgery and posterior adjuvant chemotherapy and radiotherapy. She had a bifocal invasive lobulillar carcinoma situated at intersection of upper quadrants with positive estrogenic and progesterone receptors and T2N0M0 pathological staging. She presents breast asymmetry which she wants it to be corrected.
Figure 4
Figure 4 A 44-year-old premenopausal female with an invasive ductal carcinoma at upper outer quadrant of the left breast which sized 35 mm on mammograms who was treated with neoadjuvant chemotherapy before surgery. A therapeutic bilateral reduction mammaplasty with T inverted pattern incision and superomedial pedicle used for shifting nipple areola complex and an infero-lateral one to fill the breast defect caused by extirpation of a surgical specimen weighted 223 g was carried out. Pathological study showed a tumor size 12 mm, one negative sentinel lymph node and free surgical margins. A: Design of pattern incision with three wires inserted to guide tumor excision; B: X-ray of surgical specimen showed complete radiological removal of tumor; C: Appearance on early postoperative period; D: Long-term aesthetic outcome three years after breast conserving treatment shows both breasts with pseudotosis.