Pedicled dermoglandular flap reconstruction following breast conserving surgery

Abstract EN

Breast conserving therapy is the gold standard treatment of early breast cancer.

However, a balance between good cosmetic outcome and limiting the risk of loco regional recurrence remains the key of success.

The aim of this work was to evaluate the outcome of partial breast reconstruction using pedicle derma-glandular flap from the upper outer quadrant, for central quadrantectomy BCS.

Patients & methods : Thirty patients underwent wide excision of carcinoma of retro areolar or per areolar regions of the breast, from July 2008 to August 2011.

Excisions included the nipple / areola complex down to the pectorals fascia with a wide safety margin, and complete axillary dissection.

Breast reconstruction was done by means of pedicle dermoglandular flap.

Results : Mean age of patients was 51.86 years (range from 30 to 70 years).

Tumor size ranged from 1 to 4.2 cm.

Postoperative pathological results came out with 21 (70.0 %) patients mean (range) of the tumor safety margin 2.01 (0.5–2.8).

Seventeen (56.7 %) patients had positive axillary lymph nodes.

All patients received postoperative radiation therapy to the breast, while 17 / 30 (56.67 %) and 6 / 30 (20 %) received endocrine therapy or adjuvant chemotherapy, respectively, and only 7 / 30 (23.34 %) patients received both therapies.

During a median follow-up period of 24 months, neither local nor distant metastasis, were detected.

The postoperative cosmetic result was excellent in 80 % patients, good in 13.3 % patients, acceptable in 6.7 % with no poor result.

Conclusion : following central quadrantectomy BCS for small centrally located breast cancer, a pedicled dermoglandular flap from the upper outer quadrant is a good reconstructive option.