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The successful use of disparate pedicle types for bilateral therapeutic mammaplasties during breast conservation surgery
- Source :
- Journal of Surgical Case Reports
- Publication Year :
- 2021
- Publisher :
- Oxford University Press, 2021.
-
Abstract
- This case illustrates the successful use of non-identical pedicles in bilateral therapeutic mammaplasty (TM). A 58-year-old patient presented with a left-sided upper inner quadrant multifocal invasive [no special type (NST)] tumour and a right-sided upper outer quadrant unifocal invasive tubular carcinoma with surrounding ductal carcinoma in situ (DCIS). Her tumour locations necessitated simultaneous bilateral TM using different pedicle types. A superomedial pedicle T-scar breast reduction was undertaken on the right to resect the upper outer quadrant tumour whilst a superolateral nipple transposition pedicle was used on the left breast to enable the wide resection of the two tumours located superomedial to the nipple. The location and size of the tumour also required the use of a secondary infero-medially based pedicle for volume displacement on the left breast. Patient received adjuvant chemotherapy and radiotherapy. A year after surgery the patient has acceptable cosmetic results in terms of symmetry, breast contour and increasingly inconspicuous scars.
- Subjects :
- medicine.medical_specialty
therapeutic mammaplasty
AcademicSubjects/MED00910
medicine.medical_treatment
Scars
Case Report
030230 surgery
03 medical and health sciences
Quadrant (abdomen)
0302 clinical medicine
wide local excision
medicine
Breast-conserving surgery
wise pattern breast reduction
bilateral breast cancer
jscrep/020
business.industry
Wide local excision
superolateral pedicle
superomedial pedicle
Ductal carcinoma
Surgery
Radiation therapy
Mammaplasty
Breast reduction
medicine.symptom
business
oncoplastic breast surgery
Subjects
Details
- Language :
- English
- ISSN :
- 20428812
- Database :
- OpenAIRE
- Journal :
- Journal of Surgical Case Reports
- Accession number :
- edsair.doi.dedup.....6bcced8b96d7af0f85433c98f17a76ea