BREAST REDUCTION AFTER BREAST CONSERVING SURGERY AND RADIOTHERAPY: AVOIDING COMPLICATIONS.

Autor: Kozanoğlu, Erol, Akalın, Bora Edim, Ferlengez, Ekrem
Zdroj: Acibadem Saglik Bilimleri Dergisi; 2024 Supplement, Vol. 15, p134-134, 1p
Abstrakt: Objectives: Breast conserving therapy is one of the mainstays of breast cancer therapy. After the removal of the tumor, the remaining breast tissue is preserved with partially preserved sensation. The aim of this study was to assess the results of the reduction mammoplasty of patients who had previous breast conserving surgery and adjuvant radiotherapy. Also, the techniques that were performed in order to avoid the complications were evaluated. Materials-Methods: Patients who had previous breast conserving surgery and adjuvant radiotherapy and who underwent reduction mammoplasty between January 2021 and January 2023 were included. The operative technique consisted of a skin reduction pattern and different pedicle patterns according to the localization of the previous resection. Electronic health records and preoperative and postoperative photographs of the patients were evaluated. Results: Five female patients were included in the study and the mean age of the patients were 49 years(42 – 59). The mean time period between the final adjuvant radiotherapy and reduction mammoplasty was 3 years(2 – 5). The mean followup period of the patients was 15 months(3 – 27 months). The left breast was irradiated in three patients whereas the right breast was irradiated in two patients. The primary tumor was at the infero-medial quadrant in three patients whereas it was at the superolateral quadrant in two patients. The Wise skin reduction pattern was preferred in four patients whereas the vertical pattern was preferred in one patient. The superior pedicle, the superomedial pedicle and the inferior pedicle were performed in 2, 1 and 2 patients respectively. Two patients healed unevenfully. One patient complained of unsatisfactory aesthetic result. One patient had prolonged serous drainage. Conclusion: Breast reduction and mastopexy may be performed safely after breast conserving surgery and radiotherapy. The patients may be satisfied and acceptable results may be obtained with precise timing, planning and followup. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index