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

Bellizzi, Annalise and Vella Baldacchino, Reuben and Kazzazi, Fawz and Forouhi, Parto and 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). rjab064. ISSN 2042-8812

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Official URL: https://doi.org/10.1093/jscr/rjab064

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.

Item Type: Journal Article
Keywords: oncoplastic breast surgery, therapeutic mammaplasty, superomedial pedicle, superolateral pedicle, bilateral breast cancer, wise pattern breast reduction, wide local excision
Faculty: Faculty of Health, Education, Medicine & Social Care
Depositing User: Lisa Blanshard
Date Deposited: 15 Mar 2021 15:51
Last Modified: 21 Apr 2021 10:29
URI: https://arro.anglia.ac.uk/id/eprint/706410

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