JLE

Bulletin du Cancer

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Reduction mammoplasty in breast cancers of the lower quadrants Volume 94, issue 2, Février 2007

Authors
Clinique du Trocadéro, 52 rue de la Tour, 75116 Paris, Institut Curie, 26 rue d’Ulm, 75005 Paris

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.