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Related Experiment Videos

The modified extended mastectomy using the trap-door method as a staging operation.

M Noguchi, K Tajiri, H Fujii

    International Surgery
    |January 1, 1987
    PubMed
    Summary

    This study introduces a modified extended mastectomy using a trap-door technique. This approach aims to improve local control for breast cancer patients while minimizing anterior chest defects.

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    Area of Science:

    • Surgical Oncology
    • Breast Cancer Surgery

    Background:

    • Effective local control is paramount in breast cancer treatment decisions.
    • Extended radical mastectomy's utility in internal mammary lymph node metastasis remains debated.
    • Minimizing anterior chest defects is crucial for patients without internal mammary lymph node metastasis.

    Purpose of the Study:

    • To propose a novel modified extended mastectomy technique.
    • To utilize the trap-door method for staging and as an intermediate surgical option.
    • To balance oncologic control with aesthetic and functional outcomes.

    Main Methods:

    • A modified extended mastectomy employing a trap-door technique is described.
    • Axillary dissection is facilitated by pectoralis major muscle reflection.

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  • Internal mammary lymph node dissection is performed via parasternal chest wall trap-door.
  • Sternal splitting extended radical mastectomy is reserved for confirmed internal mammary metastasis.

    • Main Results:

    • The proposed technique allows for both axillary and internal mammary lymph node assessment.
    • It offers a less invasive alternative to standard extended radical mastectomy when indicated.
    • It provides a method to avoid anterior chest defects in selected patients.

    Conclusions:

    • The modified extended mastectomy with the trap-door method is a viable staging and intermediate surgical option.
    • This technique potentially improves breast cancer local control while managing surgical morbidity.
    • It allows for tailored surgical management based on lymph node metastasis status.