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The successful use of disparate pedicle types for bilateral therapeutic mammaplasties during breast conservation surgery

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posted on 2023-07-26, 15:18 authored by Annalise Bellizzi, Reuben Vella Baldacchino, Fawz Kazzazi, Parto Forouhi, Charles M. Malata
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.

History

Refereed

  • Yes

Volume

2021

Issue number

3

Page range

rjab064

Publication title

Journal of Surgical Case Reports

ISSN

2042-8812

Publisher

Oxford University Press

File version

  • Published version

Language

  • eng

Legacy posted date

2021-03-15

Legacy creation date

2021-03-15

Legacy Faculty/School/Department

Faculty of Health, Education, Medicine & Social Care

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