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. 2011 Dec 5:9:159.
doi: 10.1186/1477-7819-9-159.

Long-term results of breast conservation and immediate volume replacement with myocutaneous latissimus dorsi flap

Fernando Hernanz  1 , Sonia Sánchez, María Pérez Cerdeira, Carlos Redondo Figuero
Affiliations

Long-term results of breast conservation and immediate volume replacement with myocutaneous latissimus dorsi flap

Fernando Hernanz et al. World J Surg Oncol. .

Abstract

Background: Published long-term outcomes of oncoplastic breast-conserving surgery are scarce and, specifically, aesthetic outcomes assessed with an objective method have not previously been published.

Methods: A cohort of 41 patients treated with a quadrantectomny and immediate reconstruction using a myocutaneous latissimus dorsi flap were analyzed and their aesthetic outcomes were evaluated objectively by BCCT.core software.

Results: At the end of a 58-month follow-up from the date of initial diagnosis, one patient (2.4%) developed an ipsilateral recurrence, six patients developed distant metastases and three patients died (7.3%) without ipsilateral recurrence, one of them presenting hepatic metastases at the time of the initial diagnosis. We were able to evaluate aesthetic results in 23 patients, 3 assessed as excellent, 12 good and 8 fair.

Conclusion: This oncoplastic volume replacement technique obtained a good local control and satisfactory and stable aesthetic results which have maintained unchanged after a long period of time.

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Figures

Figure 1
Figure 1
Appearance of the patient who suffered from an ipsilateral breast cancer recurrence, she underwent a skin-sparing mastectomy and immediate breast reconstruction with an adjustable breast implant. She did not want undergo a reduction mammaplasty for simmetrization. Mammography showed a small group of microcalcifications; the core biopsy confirmed an in situ ductal carcinoma.
Figure 2
Figure 2
Long-term aesthetic results of OVR used in the four quadrants of the breast.
Figure 3
Figure 3
Appearance of the patient at different times, while the radiotherapy was delivered and, three months, two years and five years after the end of radiotherapy.
See this image and copyright information in PMC

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