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Reduction mammoplasty in breast cancers of the lower quadrants


Bulletin du Cancer. Volume 94, Number 2, 225-8, Février 2007, Article original

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Author(s) : Elisabeth Achard, Rémy J Salmon

Summary : Aim : Evaluate bilateral reduction mammoplasty in the management of breast cancer in the lower quadrants. Patients and methods : 60 patients were operated on between 1992 and 2003 mean age : 53 years (34-75) by a double team, oncologic and plastic, during the same operative procedure for a cancer in the lower quadrants (T1-2, N0-1a, M0). Radiation therapy was delivered in every patient with a boost in 30 % of them. Results : Mean cancer size was 17,5 mm (5-20 m) with 10 N + patients. Mean weight of the lumpectomy was 220 g (80-900 !). There was one local recurrence at three years. Cosmetic result was good in 75 % of the patients. Radiation side effects : fibrosis, induration, telangiectasias and vicious cicatrisation on the contro-lateral breast were responsible of the middle quality results. Conclusion : Bilateral reduction mammoplasty is a good technique for the management of cancers in the lower quadrants. A double team, with a good logistic organisation, gives a good oncoplastic result.

Keywords : breast cancer, bilateral reduction mammoplasty, oncoplasty

 

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