Bulletin du Cancer
MENUReduction mammoplasty in breast cancers of the lower quadrants Volume 94, issue 2, Février 2007
- Key words: breast cancer, bilateral reduction mammoplasty, oncoplasty
- DOI : 10.1684/bdc.2007.0197
- Page(s) : 225-8
- Published in: 2007
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.