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Ebook Oncoplastic breast surgery - A guide to clinical practice (2/E): Part 2

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Nội dung chi tiết: Ebook Oncoplastic breast surgery - A guide to clinical practice (2/E): Part 2

Ebook Oncoplastic breast surgery - A guide to clinical practice (2/E): Part 2

34 Breast Conservation Surgery: The 8 Plasty, Involved Margins, Skin-Sparing Mastectomy139Fig. 34.5 (a—f) A 67-year-old patient underwent breast conse

Ebook Oncoplastic breast surgery - A guide to clinical practice (2/E): Part 2ervation surgery using a B plasty for a 30 nun lobular cancer (receptor positive. HER2 negative. Ki 67: 20 %, G2) in the upper outer quadrant of the l

eft breast. Ute sentinel node was positive, and an axillary dissection was performed (2 positive lymph nodes out of 15). Re-excision was necessary due Ebook Oncoplastic breast surgery - A guide to clinical practice (2/E): Part 2

to involved margins with intraductal carcinoma in situ. The breast was of medium size with no ptosis and a good cosmetic result after quadrantectomy(

Ebook Oncoplastic breast surgery - A guide to clinical practice (2/E): Part 2

a. b). A skin-sparing mastectomy with immediate reconstruction with a latissimus dorsi flap and an implant was performed. The llap was dc-cpithelializ

34 Breast Conservation Surgery: The 8 Plasty, Involved Margins, Skin-Sparing Mastectomy139Fig. 34.5 (a—f) A 67-year-old patient underwent breast conse

Ebook Oncoplastic breast surgery - A guide to clinical practice (2/E): Part 2and ptosis of the reconstructed breast and symmetry to the contralateral breast (e. fl. Reconstruction of the NAC was declined by the patientPart VIIB

reast Conserving Oncoplastic Techniques: Central ResectionCentral Quadrantectomy and Reconstruction of the Nipple-Areola Complex with a De-epitheliali Ebook Oncoplastic breast surgery - A guide to clinical practice (2/E): Part 2

zed Inferior-Based Pedicle with a Skin IslandPeter Schrenk3535.1The PatientA 62-year-old woman was diagnosed (open biopsy) with Paget carcinoma of the

Ebook Oncoplastic breast surgery - A guide to clinical practice (2/E): Part 2

left nippleareola complex (NAC). Mammography and breast MRI revealed suspicious microcalcifications 30 mm in size solely behind the nipple. Vacuum ne

34 Breast Conservation Surgery: The 8 Plasty, Involved Margins, Skin-Sparing Mastectomy139Fig. 34.5 (a—f) A 67-year-old patient underwent breast conse

Ebook Oncoplastic breast surgery - A guide to clinical practice (2/E): Part 2my. The patient had a large and ptotic breast (Fig. 35. la-c).35.2SurgeryCentral quadrantectomy was performed as part of an inferior-based pedicle red

uction mammo-plasty with a resection volume of 1.150 g. The inferior pedicle was de-epithelialized except a small skin island, which was used for reco Ebook Oncoplastic breast surgery - A guide to clinical practice (2/E): Part 2

nstruction of the NAC (Fig. 35.2a. b). Sentinel node biopsy found one negative sentinel node.p. Schrenk. MDSecond Department of Surgery. Breast Care C

Ebook Oncoplastic breast surgery - A guide to clinical practice (2/E): Part 2

enter.Akh - LFKK Linz. Linz. Austriae-mail: peter.schivnk® liwest.at35.3Clinical and Cosmetic OutcomeThe postoperative course was uneventful. Permanen

34 Breast Conservation Surgery: The 8 Plasty, Involved Margins, Skin-Sparing Mastectomy139Fig. 34.5 (a—f) A 67-year-old patient underwent breast conse

Ebook Oncoplastic breast surgery - A guide to clinical practice (2/E): Part 2ive radiation was suggested by the tumor board due to the wide resection margins.Nine months after surgery, reconstruction of the NAC and a contralate

ral reduction with an inferior-based pedicle were done (Fig 35.3a, b).Routine follow-up mammography 8 years after initial surgery' revealed scattered Ebook Oncoplastic breast surgery - A guide to clinical practice (2/E): Part 2

suspicious microcalcifications in the upper inner quadrant of the left breast over a distance of 3 cm. Vacuum needle biopsy confirmed ductal carcinoma

Ebook Oncoplastic breast surgery - A guide to clinical practice (2/E): Part 2

in situ high grade.Breast conservation surgery was suggested and planned as a vertical central quadrantectomy with resection of the (reconstructed) N

34 Breast Conservation Surgery: The 8 Plasty, Involved Margins, Skin-Sparing Mastectomy139Fig. 34.5 (a—f) A 67-year-old patient underwent breast conse

Ebook Oncoplastic breast surgery - A guide to clinical practice (2/E): Part 2econstructed NAC as a skin island on the de-epithelialized inferior-based pedicle (Fig. 35.4a-c).The extension of the microcalcifications was marked w

ith two wires (Fig. 35.4c). The NAC was circumcised and the inferior pedicle was de-epithelialized (Fig. 35.4d). Wide excision of the upper inner peri Ebook Oncoplastic breast surgery - A guide to clinical practice (2/E): Part 2

areolar quadrant was done.<0 Springer-Verlag Vienna 2015143F. Fitzal. p. Schrenk (eds.). Oncoplastic Breast Surgery: .4 Guide to Clinical Practice.DOI

Ebook Oncoplastic breast surgery - A guide to clinical practice (2/E): Part 2

10.1007/978-3-7091 -1874-0_35144p. SchrenkFig. 35.1 ia-c) Preoperative view. The 62-year-old patient had a Paget carcinoma of the nipple and intraduc

34 Breast Conservation Surgery: The 8 Plasty, Involved Margins, Skin-Sparing Mastectomy139Fig. 34.5 (a—f) A 67-year-old patient underwent breast conse

Ebook Oncoplastic breast surgery - A guide to clinical practice (2/E): Part 2econstruction of the NACFig. 35.2 (a. b) Intraoperative view. Following central quadrantectomy, the inferior pedicle was de-epithelialized leaving a s

kin island for reconstraction of the nipple35 Central Quadrantectomy and Reconstruction of the Nipple Areola Complex with an Inferior Pedicle 145Fig. Ebook Oncoplastic breast surgery - A guide to clinical practice (2/E): Part 2

3S.3

Ebook Oncoplastic breast surgery - A guide to clinical practice (2/E): Part 2

for symmetrization (a), tbt Postoperative result after 4 years

34 Breast Conservation Surgery: The 8 Plasty, Involved Margins, Skin-Sparing Mastectomy139Fig. 34.5 (a—f) A 67-year-old patient underwent breast conse

34 Breast Conservation Surgery: The 8 Plasty, Involved Margins, Skin-Sparing Mastectomy139Fig. 34.5 (a—f) A 67-year-old patient underwent breast conse

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