Skin sparing mastectomy : technique and suggested methods of reconstruction
المؤلفون المشاركون
Hashim, Tariq
Sulayman, Husayn O.
Mani, Tamir M.
Sulayman, Usamah M.
Farahat, Ahmad M.
المصدر
Journal of the Egyptian National Cancer Institute
العدد
المجلد 26، العدد 3 (30 سبتمبر/أيلول 2014)، ص ص. 153-159، 7ص.
الناشر
جامعة القاهرة المعهد القومي للأورام
تاريخ النشر
2014-09-30
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الموضوعات
الملخص EN
Aim : To demonstrate the feasibility and accessibility of performing adequate mastectomy to extirpate the breast tissue, along with en-block formal axillary dissection performed from within the same incision.
We also compared different methods of immediate breast reconstruction used to fill the skin envelope to achieve the best aesthetic results.
Methods : 38 patients with breast cancer underwent skin-sparing mastectomy with formal axillary clearance, through a circum-areolar incision.
Immediate breast reconstruction was performed using different techniques to fill in the skin envelope.
Two reconstruction groups were assigned ; group 1 : Autologus tissue transfer only (n = 24), and group 2 : implant augmentation (n = 14).
Autologus tissue transfer : The techniques used included filling in the skin envelope using Extended Latissimus Dorsi flap (18 patients) and Pedicled TRAM flap (6 patients).
Augmentation with implants : Subpectoral implants (4 patients), a rounded implant placed under the pectoralis major muscle to augment an LD reconstructed breast.
LD pocket (10 patients), an anatomical implant placed over the pectoralis major muscle within a pocket created by the LD flap.
No contra-lateral procedure was performed in any of the cases to achieve symmetry.
Results : All cases underwent adequate excision of the breast tissue along with en-block complete axillary clearance (when indicated), without the need for an additional axillary incision.
Eighteen patients underwent reconstruction using extended LD flaps only, six had TRAM flaps, four had augmentation using implants placed below the pectoralis muscle along with LD flaps, and ten had implants placed within the LD pocket.
Breast shape, volume and contour were successfully restored in all patients.
Adequate degree of ptosis was achieved, to ensure maximal symmetry.
Conclusions : Skin Sparing mastectomy through a circum-areolar incision has proven to be a safe and feasible option for the management of breast cancer in Egyptian women, offering them adequate oncologic control and optimum cosmetic outcome through preservation of the skin envelope of the breast when ever indicated.
Our patients can benefit from safe surgery and have good cosmetic outcomeby applying different reconstructive techniques.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Farahat, Ahmad M.& Hashim, Tariq& Sulayman, Husayn O.& Mani, Tamir M.& Sulayman, Usamah M.. 2014. Skin sparing mastectomy : technique and suggested methods of reconstruction. Journal of the Egyptian National Cancer Institute،Vol. 26, no. 3, pp.153-159.
https://search.emarefa.net/detail/BIM-411962
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Farahat, Ahmad M.…[et al.]. Skin sparing mastectomy : technique and suggested methods of reconstruction. Journal of the Egyptian National Cancer Institute Vol. 26, no. 3 (2014), pp.153-159.
https://search.emarefa.net/detail/BIM-411962
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Farahat, Ahmad M.& Hashim, Tariq& Sulayman, Husayn O.& Mani, Tamir M.& Sulayman, Usamah M.. Skin sparing mastectomy : technique and suggested methods of reconstruction. Journal of the Egyptian National Cancer Institute. 2014. Vol. 26, no. 3, pp.153-159.
https://search.emarefa.net/detail/BIM-411962
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 158-159
رقم السجل
BIM-411962
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر