Oncoplastic resection with trasferred perforator flaps for breast cancer patients with small/­moderate volume breasts

Abstract

Aim. To analyze the results of oncoplastic resection with local perforator flaps for breast cancer patients with small/moderate volume breasts.

Methods. The study uncluded 31 patients undergoing oncoplastic resection with LICAP/LTAP and AIAP/MICAP flaps. Inclusion criteria: histologically confirmed breast cancer, cT1c–2N0–1M0 stage, small/moderate volume breasts, perforator presence according to Doppler ultrasound, color and energy ultrasound with linear array probe (4–18 MHz), and the patient’s desire to have the breast-conserving surgery. Exclusion criteria: large volume of breast, cT ≥3, cN ≥2, M1.

Results. LICAP-flaps were used in 19 (61.3%) cases, AIAP in 7 (22.6%) cases and LTAP-flap in 5 (16.1%) cases. Average flap width was 8.9±1.2 cm, average length 21.1±2.1 cm. In all cases the surgical margins were clear. Mean follow-up was 17.4 months. Complications occurred in 1 (3.2%) patient (hematoma with positive dynamics on conservative treatment). The necessary symmetry was achieved in 1 step in all cases. 30 (96.8%) patients were completely satisfied with the aesthetic results (excellent and good).

Conclusion. Oncoplastic resection with transferred perforator flaps can be successfully used for breast cancer patients with small/moderate volume breasts; the method does not require symmetrisation surgery, has minimum of complications and allows achieving good esthetic result.

Keywords

breast cancer / oncoplastic resection / transferred perforates flaps

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RIGHTS & PERMISSIONS

Shatova Y.S., Vashchenko L.N., Maksimova N.A., Chernikova E.N., Ratieva A.S.