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World Journal of Surgical Oncology

, 8:93

First Online: 01 November 2010Received: 05 May 2010Accepted: 01 November 2010


BackgroundPatients suffering from symptomatic macromastia are usually underserved, as they have to put up with very long waiting lists and are usually selected under restrictive criteria. The Oncoplastic Breast Surgery subspeciality requires a cross-specialty training, which is difficult, in particular, for trainees who have a background in general surgery, and not easily available. The introduction of reduction mammaplasty into a Breast Cancer Unit as treatment for symptomatic macromastia could have a synergic effect, making the scarce therapeutic offer at present available to these patients, who are usually treated in Plastic Departments, somewhat larger, and accelerating the uptake of oncoplastic training as a whole and, specifically, the oncoplastic breast conserving procedures based on the reduction mammaplasty techniques such as displacement conservative techniques and onco-therapeutic mammaplasty. This is a retrospective study analyzing the outcome of reduction mammaplasty for symptomatic macromastia in our Breast Cancer Unit.

MethodsA cohort study of 56 patients who underwent bilateral reduction mammaplasty at our Breast Unit between 2005 and 2009 were evaluated; morbidity and patient satisfaction were considered as end points. Data were collected by reviewing medical records and interviewing patients.

ResultsEight patients 14.28% presented complications in the early postoperative period, two of them being reoperated on. The physical symptoms disappeared or significantly improved in 88% of patients and the degree of satisfaction with the care process and with the overall outcome were really high.

ConclusionOur experience of the introduction of reduction mammaplasty in our Breast Cancer Unit has given good results, enabling us to learn the use of different reduction mammaplasty techniques using several pedicles which made it posssible to perform oncoplastic breast conserving surgery. In our opinion, this management policy could bring clear advantages both to patients large-breasted and those with a breast cancer and surgeons.

AbbreviationsOBSOncoplastic breast surgery

RMReduction mammaplasty

BCUBreast Cancer Unit

NACNipple areola complex

BMIBody Mass Index.

Electronic supplementary materialThe online version of this article doi:10.1186-1477-7819-8-93 contains supplementary material, which is available to authorized users.

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Autor: Fernando Hernanz - Rosa Santos - Arantxa Arruabarrena - José Schneider - Manuel Gómez Fleitas


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