Breast Conserving Surgery with Primary Volume Replacement using a Lateral Tissue Flap

• Takeda Motohiro

  Division of Surgical Oncology, Tohoku University Graduate School of Medicine

• Ishida Takanori

  Division of Surgical Oncology, Tohoku University Graduate School of Medicine

• Ohnuki Kohji

  Division of Surgical Oncology, Tohoku University Graduate School of Medicine Department of General Surgery, Ken-ritsu Chuo Hospital of Iwate Prefecture

• Suzuki Akihiko

  Division of Surgical Oncology, Tohoku University Graduate School of Medicine

• Kiyohara Hiroshi

  Department of General Surgery, Ken-ritsu Chuo Hospital of Iwate Prefecture

• Moriya Takuya

  Division of Pathology, Tohoku University Graduate School of Medicine

• Ohuchi Noriaki

  Division of Surgical Oncology, Tohoku University Graduate School of Medicine

抄録

Breast conserving surgery (BCS) is now a standard surgical treatment for early breast cancer. The number of patients with tumors under 3 cm who underwent breast conserving surgery overtook the number of patients who underwent total mastectomy for the first time in Japan in 2003. We have been employing breast conserving surgery with primary reconstruction using a lateral tissue flap (LTF), and have performed breast conserving surgery for 266 patients from 1990 to 2002. The incidence of local relapse was 5.6%. Although we did not irradiate a low risk group of 101 patients, our method is not inferior to other reports in which all cases underwent irradiation. Primary reconstruction with LTF has three advantages. The first is that we can avoid poly-surgery for breast reconstruction. The second is that the volume of the graft is maintained longer than reconstruction with a musculo-cutaneous flap. The third is that patients can avoid allergic reactions or granulomas as seen with artificial prosthesies. In conclusion, breast conserving surgery with immediate volume replacement with a LTF is a reasonable surgical procedure and has the advantage of avoiding unnecessary surgical procedures for reconstruction and surgical invasion without delaying the diagnosis of local relapse. Moreover, an adequate assessment of risk can spare low risk groups irradiation.

収録刊行物

• Breast Cancer

  Breast Cancer 12 (1), 16-20, 2005

  日本乳癌学会

キーワード

• Breast conserving surgery
• Lateral tissue flap

詳細情報

• CRID: 1390282679457160448
• NII論文ID: 130004467368
• NII論文ID: 10014316437
• NII書誌ID: AA1103354X
• DOI: 10.2325/jbcs.12.16
• COI: 1:STN:280:DC%2BD2M%2FjtVSjsA%3D%3D
• ISSN: 18804233
• ISSN: 13406868
• PubMed: 15657518
• Web Site: http://www.springerlink.com/index/pdf/10.2325/jbcs.12.16
• Web Site: https://search.jamas.or.jp/link/ui/2006261504
• 本文言語コード: en
• データソース種別:
  • JaLC
  • Crossref
  • PubMed
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可