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[Reduction mammoplasty in breast cancers of the lower quadrants]
Elisabeth Achard1, Rémy J Salmon
1Clinique du Trocadéro, 52 rue de la Tour, 75116 Paris.
Aim:
Evaluate bilateral reduction mammoplasty in the management of breast cancer in the lower quadrants.
Patients And Methods:
60 patients were operated on between 1992 and 2003 mean age: 53 years (34-75) by a double team, oncologic and plastic, during the same operative procedure for a cancer in the lower quadrants (T1-2, N0-1a, M0). Radiation therapy was delivered in every patient with a boost in 30% of them.
Results:
Mean cancer size was 17,5 mm (5-20 m) with 10 N + patients. Mean weight of the lumpectomy was 220 g (80-900!). There was one local recurrence at three years. Cosmetic result was good in 75 % of the patients. Radiation side effects: fibrosis, induration, telangiectasias and vicious cicatrisation on the contro-lateral breast were responsible of the middle quality results.
Conclusion:
Bilateral reduction mammoplasty is a good technique for the management of cancers in the lower quadrants. A double team, with a good logistic organisation, gives a good oncoplastic result.
