Bellizzi, Annalise;
Vella Baldacchino, Reuben;
Kazzazi, Fawz;
Forouhi, Parto;
Malata, Charles M;
(2021)
The successful use of disparate pedicle types for bilateral therapeutic mammaplasties during breast conservation surgery.
Journal of Surgical Case Reports
, 2021
(3)
, Article rjab064. 10.1093/jscr/rjab064.
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Abstract
This case illustrates the successful use of non-identical pedicles in bilateral therapeutic mammaplasty (TM). A 58-year-old patient presented with a left-sided upper inner quadrant multifocal invasive [no special type (NST)] tumour and a right-sided upper outer quadrant unifocal invasive tubular carcinoma with surrounding ductal carcinoma in situ (DCIS). Her tumour locations necessitated simultaneous bilateral TM using different pedicle types. A superomedial pedicle T-scar breast reduction was undertaken on the right to resect the upper outer quadrant tumour whilst a superolateral nipple transposition pedicle was used on the left breast to enable the wide resection of the two tumours located superomedial to the nipple. The location and size of the tumour also required the use of a secondary infero-medially based pedicle for volume displacement on the left breast. Patient received adjuvant chemotherapy and radiotherapy. A year after surgery the patient has acceptable cosmetic results in terms of symmetry, breast contour and increasingly inconspicuous scars.
| Type: | Article |
|---|---|
| Title: | The successful use of disparate pedicle types for bilateral therapeutic mammaplasties during breast conservation surgery |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1093/jscr/rjab064 |
| Publisher version: | https://doi.org/10.1093/jscr/rjab064 |
| Language: | English |
| Additional information: | Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2021. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
| Keywords: | Oncoplastic breast surgery, therapeutic mammaplasty, superomedial pedicle, superolateral pedicle, bilateral breast cancer, wise pattern breast reduction, wide local excision |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > UCL Medical School UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > UCL Medical School > Clinical and Professional Practice Unit |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/10194795 |
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