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Skin sparing mastectomy with immediate reconstruction in early breast carcinoma: a preliminary study.

Identifieur interne : 004F27 ( Ncbi/Merge ); précédent : 004F26; suivant : 004F28

Skin sparing mastectomy with immediate reconstruction in early breast carcinoma: a preliminary study.

Auteurs : Sukanya Sriussadaporn [Thaïlande] ; Apichai Angspatt

Source :

RBID : pubmed:22774621

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English descriptors

Abstract

Surgical treatment for breast cancer has some special aspects different from other cancers, since surgeons have to concern of both oncologic safety and esthetic outcome. Modified radical mastectomy (MRM) can give the oncologic safety but not esthetic outcome. Breast conserving therapy improves cosmetic but results in more local recurrence than modified radical mastectomy. Skin sparing mastectomy (SSM) with immediate reconstruction for early breast cancer has been reported by several investigators to have comparable outcome with MRM and better esthetic result. The purpose of the present study was to examine patients who underwent SSM with immediate reconstruction at King Chulalongkorn Memorial Hospital.

PubMed: 22774621

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Le document en format XML

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<title xml:lang="en">Skin sparing mastectomy with immediate reconstruction in early breast carcinoma: a preliminary study.</title>
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<name sortKey="Sriussadaporn, Sukanya" sort="Sriussadaporn, Sukanya" uniqKey="Sriussadaporn S" first="Sukanya" last="Sriussadaporn">Sukanya Sriussadaporn</name>
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<nlm:affiliation>Department of Surgery, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand. skanyb@hotmail.com</nlm:affiliation>
<country xml:lang="fr">Thaïlande</country>
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<name sortKey="Angspatt, Apichai" sort="Angspatt, Apichai" uniqKey="Angspatt A" first="Apichai" last="Angspatt">Apichai Angspatt</name>
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<term>Adult</term>
<term>Breast Neoplasms (pathology)</term>
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<term>Carcinoma (pathology)</term>
<term>Carcinoma (surgery)</term>
<term>Female</term>
<term>Humans</term>
<term>Mammaplasty</term>
<term>Mastectomy (methods)</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
<term>Postoperative Complications</term>
<term>Surgical Flaps</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Carcinomes ()</term>
<term>Carcinomes (anatomopathologie)</term>
<term>Complications postopératoires</term>
<term>Femelle</term>
<term>Humains</term>
<term>Lambeaux chirurgicaux</term>
<term>Mammoplastie</term>
<term>Mastectomie ()</term>
<term>Stade de la tumeur</term>
<term>Tumeurs du sein ()</term>
<term>Tumeurs du sein (anatomopathologie)</term>
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<term>Carcinomes</term>
<term>Tumeurs du sein</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en">
<term>Mastectomy</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en">
<term>Breast Neoplasms</term>
<term>Carcinoma</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en">
<term>Breast Neoplasms</term>
<term>Carcinoma</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adult</term>
<term>Female</term>
<term>Humans</term>
<term>Mammaplasty</term>
<term>Middle Aged</term>
<term>Neoplasm Staging</term>
<term>Postoperative Complications</term>
<term>Surgical Flaps</term>
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<term>Adulte d'âge moyen</term>
<term>Carcinomes</term>
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<term>Femelle</term>
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<div type="abstract" xml:lang="en">Surgical treatment for breast cancer has some special aspects different from other cancers, since surgeons have to concern of both oncologic safety and esthetic outcome. Modified radical mastectomy (MRM) can give the oncologic safety but not esthetic outcome. Breast conserving therapy improves cosmetic but results in more local recurrence than modified radical mastectomy. Skin sparing mastectomy (SSM) with immediate reconstruction for early breast cancer has been reported by several investigators to have comparable outcome with MRM and better esthetic result. The purpose of the present study was to examine patients who underwent SSM with immediate reconstruction at King Chulalongkorn Memorial Hospital.</div>
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<Day>10</Day>
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<Month>08</Month>
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<Title>Journal of the Medical Association of Thailand = Chotmaihet thangphaet</Title>
<ISOAbbreviation>J Med Assoc Thai</ISOAbbreviation>
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<ArticleTitle>Skin sparing mastectomy with immediate reconstruction in early breast carcinoma: a preliminary study.</ArticleTitle>
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<AbstractText Label="BACKGROUND AND OBJECTIVE" NlmCategory="OBJECTIVE">Surgical treatment for breast cancer has some special aspects different from other cancers, since surgeons have to concern of both oncologic safety and esthetic outcome. Modified radical mastectomy (MRM) can give the oncologic safety but not esthetic outcome. Breast conserving therapy improves cosmetic but results in more local recurrence than modified radical mastectomy. Skin sparing mastectomy (SSM) with immediate reconstruction for early breast cancer has been reported by several investigators to have comparable outcome with MRM and better esthetic result. The purpose of the present study was to examine patients who underwent SSM with immediate reconstruction at King Chulalongkorn Memorial Hospital.</AbstractText>
<AbstractText Label="MATERIAL AND METHOD" NlmCategory="METHODS">Patients who underwent SSM with immediate reconstruction by the authors at King Chulalongkorn Memorial Hospital, Bangkok Thailand between May 2007 and January 2011 were studied. The immediate reconstruction was performed with transverse rectus abdominis musculocutaneous flaps or latissimus dorsi flaps. Postoperative early and late complications as well as local recurrence were studied to examine the oncologic safety and esthetic outcome.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Fourteen patients were enrolled into the present study. The age ranged from 33 to 59 years (mean 47 years). The follow up time ranged from six to 50 months (mean 26.5 months). Postoperative complications included wound infection in one patient (7%), seroma at donor site of latissimus dorsi flaps in two patients (40%) and fat necrosis in five patients (55%). There was no skin flap necrosis, no hematoma, no arm numbness, no wound dehiscense, no abdominal wall hernia, and no lymphedema of the arm. No local recurrence was detected</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">This preliminary report shows that skin-sparing mastectomy with immediate reconstruction is a good alternative in management of early breast cancer. There was no serious postoperative complication. The esthetic result was acceptable. No local recurrence was observed. Long-term follow up with more patients are required to confirm its applicability in early breast cancer patients.</AbstractText>
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