Skin-sparing mastectomy and immediate breast reconstruction for breast cancer

doi:10.3877/cma.j.issn.1674-0807.2008.03.005

Abstract

Abstract:

Objective

To investigate the indications,surgical methods, effects and feasibility of immediate breast reconstruction after skin-sparing mastectomy.

Methods

From January 2002 to November 2007, 94 breast cancer patients received skin-sparing mastectomy plus axillary lymph node dissection and immediate breast reconstruction with transverse rectus abdominis myocutaneous flap(TRAM),latissimus dorsi myocutaneous flap(LDM)with or without implant and full-size implants.

Results

All reconstructions were successful. TRAM breast reconstruction was performed in 47 cases, LDM breast reconstruction in 14 cases,LDM plus implant breast reconstruction in 28 cases, and full-size implant breast reconstruction in 5 cases.Minor complications were recorded in 4 patients (4.25%).Aesthetic results were judged as good or fair in 97.87% patients. The morphology of reconstructed breasts was excellent. Locoregional recurrence was 0% by follow-up of 3 -67 months.

Conclusion

Immediate breast reconstruction after skin-sparing mastectomy is a safe and effective method for 0 -Ⅱ_A stage breast cancer patients, and good results can be obtained in breast shape, symmetry, skin colour, skin sensation and incision scar, without increase of local recurrence. This method is worth spreading and applying.

Key words: Skin-sparing mastectomy, Breast reconstruction, Breast neoplasms

Ying WANG, Xue-hui ZHANG, Fa-zhi QI. Skin-sparing mastectomy and immediate breast reconstruction for breast cancer[J]. Chinese Journal of Breast Disease(Electronic Edition), 2008, 02(03): 13-17.

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