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Updated: Sep 13, 2025

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

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Published on: May 17, 2024

[Individualized oncoplastic breast surgery].

Pernille Stine Jepsen¹, Tine Engberg Damsgaard¹, Peter Sinkjær Kenny¹

¹Organ- og Plastikkirurgisk Afdeling, Sygehus Lillebælt, Vejle Sygehus.

Ugeskrift for Laeger

|August 1, 2025

Summary

This summary is machine-generated.

This case report highlights oncoplastic surgery for breast cancer patients with severe mammary hypertrophy. Combining breast reduction with cancer treatment can mitigate radiation damage risks.

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Area of Science:

Oncology
Plastic Surgery
Radiotherapy

Background:

Severe mammary hypertrophy presents unique challenges in breast cancer treatment.
Increased breast volume can elevate risks of acute and chronic radiation-induced damage.

Purpose of the Study:

To present a case of oncoplastic surgery for breast cancer in a patient with severe mammary hypertrophy.
To emphasize the importance of addressing mammary hypertrophy before oncological treatment.

Main Methods:

A 63-year-old woman with breast cancer and severe mammary hypertrophy was treated.
The treatment plan included lumpectomy, sentinel node biopsy, and volume reduction surgery.
Post-operative radiation therapy was administered.

Main Results:

Oncoplastic surgery combined with lumpectomy and volume reduction was successfully performed.
The approach aimed to reduce the risk of radiation damage associated with severe mammary hypertrophy.

Conclusions:

Breast cancer patients, particularly those with severe mammary hypertrophy, benefit from a combined breast and plastic surgery approach.
Timely surgical intervention followed by oncological treatment is crucial for optimizing outcomes and minimizing complications.