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Cosmetic evaluation following volume replacement using lateral tissue flap in breast-conserving surgery
Hirotaka Morishima1, Nobuki Matsunami, Junichi Hasegawa
1Department of Surgery, Osaka Rosai Hospital, 1179-3 Nagasone-cho, Kitaku, Sakai, Osaka, 591-8025, Japan, morisima@bd5.so-net.ne.jp.
Breast Cancer (Tokyo, Japan)
|April 6, 2012
Summary
Lateral tissue flap (LTF) breast reconstruction offers good cosmetic outcomes. Tumor location and size are key factors influencing the aesthetic results of LTF volume replacement after breast-conserving surgery.
Area of Science:
- Oncology
- Plastic Surgery
- Breast Surgery
Background:
- Evaluating cosmetic outcomes in breast-conserving surgery (BCS) is crucial.
- Lateral tissue flap (LTF) is a technique for volume replacement during BCS.
Purpose of the Study:
- To assess the effectiveness of LTF for achieving good cosmetic results in BCS.
- To identify factors influencing cosmetic outcomes after LTF reconstruction.
Main Methods:
- Retrospective analysis of 130 breast cancer patients undergoing BCS with LTF (2006-2010).
- Cosmetic evaluations using Japanese Breast Cancer Society criteria.
- Analysis of factors: resection type, specimen diameter, BMI, axillary lymphadenectomy, irradiation, tumor location.
Main Results:
- Higher cosmetic scores observed with partial resection (Bp) and no postoperative irradiation, though not statistically significant in multivariate analysis.
- Negative correlation between cosmetic score and specimen diameter; no significant correlation with BMI.
- Tumor location in the upper-outer quadrant and smaller tumor diameters (<4 cm in upper-outer, <2 cm in other areas) correlated with better cosmetic outcomes.
Conclusions:
- Tumor location and diameter are significant predictors of cosmetic results following LTF volume replacement.
- LTF is an effective method for volume replacement in BCS, with outcomes influenced by tumor characteristics.