Breast conserving surgery (BCC) must have two goals: oncologic and cosmetic. Oncoplastic surgery techniques now are widely used We have pioneered a new approach based on a lateral longitudinal side access following the profile of the breast. 75 pts affected by Breast Cancer who presented lesions in the QSE were treated with lateral approach 53 invasive carcinoma and 22 carcinoma in situ The skin incision is carried laterally in the upper 1/3 of the breast profile. The gland is dissected from the muscular layer and widely from the skin detaching completely from the nipple areola complex (NAC). Access for biopsy Sentinel Node was smooth and fast as well as the axillary clearance if necessary. In 7 pts we had a complication with fat necrosis and wound dehiscence was reversed within a month with a modest cosmetic deficit by loss of substance. All the pts were satisfied with the aesthetic result. The NAC has always remained symmetrical with the contralateral side is that the transverse axis of the longitudinal. The breasts were symmetrical. The oncoplastic surgery of the breast is now the Gold Standard in BCC.The use of techniques borrowed from plastic surgery allows us to obtain results that were unthinkable a few years ago. In the work of Clough in the description of access there is no trace of this approach that we believe absolutely original. The result over time and especially the comparison with colleagues will give account of the effectiveness of this approach.
Lateral approach in Oncoplastic Surgery of the breast / Amanti, Claudio; Lombardi, Augusto; Maggi, Stefano; G., Stanzani; I., Gentili; Bersigotti, Laura; F., Centanini; G., Lazzarin; Vitale, Valeria. - ELETTRONICO. - 1:(2014), pp. 145-145. (Intervento presentato al convegno 18th SIS World Congress on Breast Healthcare tenutosi a Orlando, Florida (USA) nel 16-19 ottobre 2014).
Lateral approach in Oncoplastic Surgery of the breast
AMANTI, Claudio;LOMBARDI, Augusto;MAGGI, Stefano;BERSIGOTTI, LAURA;VITALE, VALERIA
2014
Abstract
Breast conserving surgery (BCC) must have two goals: oncologic and cosmetic. Oncoplastic surgery techniques now are widely used We have pioneered a new approach based on a lateral longitudinal side access following the profile of the breast. 75 pts affected by Breast Cancer who presented lesions in the QSE were treated with lateral approach 53 invasive carcinoma and 22 carcinoma in situ The skin incision is carried laterally in the upper 1/3 of the breast profile. The gland is dissected from the muscular layer and widely from the skin detaching completely from the nipple areola complex (NAC). Access for biopsy Sentinel Node was smooth and fast as well as the axillary clearance if necessary. In 7 pts we had a complication with fat necrosis and wound dehiscence was reversed within a month with a modest cosmetic deficit by loss of substance. All the pts were satisfied with the aesthetic result. The NAC has always remained symmetrical with the contralateral side is that the transverse axis of the longitudinal. The breasts were symmetrical. The oncoplastic surgery of the breast is now the Gold Standard in BCC.The use of techniques borrowed from plastic surgery allows us to obtain results that were unthinkable a few years ago. In the work of Clough in the description of access there is no trace of this approach that we believe absolutely original. The result over time and especially the comparison with colleagues will give account of the effectiveness of this approach.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
