Long-term results of breast conservation and immediate volume replacement with myocutaneous latissimus dorsi flapReportar como inadecuado




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World Journal of Surgical Oncology

, 9:159

First Online: 05 December 2011Received: 31 August 2011Accepted: 05 December 2011

Abstract

BackgroundPublished long-term outcomes of oncoplastic breast-conserving surgery are scarce and, specifically, aesthetic outcomes assessed with an objective method have not previously been published.

MethodsA cohort of 41 patients treated with a quadrantectomny and immediate reconstruction using a myocutaneous latissimus dorsi flap were analyzed and their aesthetic outcomes were evaluated objectively by BCCT.core software.

ResultsAt the end of a 58-month follow-up from the date of initial diagnosis, one patient 2.4% developed an ipsilateral recurrence, six patients developed distant metastases and three patients died 7.3% without ipsilateral recurrence, one of them presenting hepatic metastases at the time of the initial diagnosis. We were able to evaluate aesthetic results in 23 patients, 3 assessed as excellent, 12 good and 8 fair.

ConclusionThis oncoplastic volume replacement technique obtained a good local control and satisfactory and stable aesthetic results which have maintained unchanged after a long period of time.

KeywordsOncoplastic breast surgery long-term outcomes cosmetic outcome and latissimus dorsi flap List of abbreviations usedOBSOncoplastic breast surgery

BCTBreast conserving treatment

OVROBS volume replacement technique

LDFMyocutaneous latissimus dorsi flap

MRIMagnetic resonance imaging

CIConfidence intervals.

Electronic supplementary materialThe online version of this article doi:10.1186-1477-7819-9-159 contains supplementary material, which is available to authorized users.

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Autor: Fernando Hernanz - Sonia Sánchez - María Pérez Cerdeira - Carlos Redondo Figuero

Fuente: https://link.springer.com/



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