breast-cancer-2016_posters-accepted-abstracts

Volume 8, Issue 8(Suppl)

J Cancer Sci Ther

ISSN: 1948-5956 JCST, an open access journal

Page 103

Breast Cancer Congress 2016

September 19-21, 2016

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Breast Cancer

September 19-21, 2016 Phoenix, USA

World Congress on

J Cancer Sci Ther 2016, 8:8(Suppl)

Post-quadrantectomy reconstruction of the mammary central quadrant by cutaneous glandular-

adipose flap based on the Würinger septum

Domenico Samorani, Federico Cattin, Gianluca Frisoni, Tommaso Fogacci, Laura Dellachiesa, Gloria Semprini

and

Luca Fabiocchi

Santarcangelo di Romagna Hospital, Italy

Introduction

: Central quadrantectomy with nipple-areola complex (NAC) resection removes a cylinder of breast tissue deep

down to the pectoral muscle. This operation is required to remove any central neoplasia less than two centimeters in diameter,

or any Paget disease without mass or with a mass of less than two centimeters. We show our reconstruction approach using a

cutaneous-glandular-adipose flap based on the Würinger septum, between the 4

and the 5

inter-costal space, where several

perforating vessels do run.

Materials & Methods

: This study comprises 35 patients with central breast tumor, who underwent a central quadrantectomy

in the Breast Pathology and General Surgery Operative Unit of the Franchini Hospital in Santarcangelo di Romagna (AUSL

Area Vasta Romagna), between April 2009 and September 2013. In 16 of these cases we also carried out a reductive mastoplasty

based on a superior pedicle arranged symmetrically, while in the remaining 7 cases the contralateral breast was not surgically

treated.

Results

: Neither major complications such as hematomas or infections, nor total flap necrosis took place. We refer only 3-partial

necrosis of the cranial fourth of the flap. In case of a symmetrizing mastoplasty we obtained a very good aesthetic result. In

the remaining cases we observed a small asymmetry, absolutely well tolerated by the patients. All the patients were satisfied.

Conclusions

: Central quadrantectomy and breast reconstruction using a sub-cutaneus pedicular flap present a valid

therapeutic option for patients affected by central breast tumors, and helps to overcome the conflict between oncologic safety

and cosmetic satisfaction. This subcutaneous pedicular flap presents a very good mobilization which does not constrain, in its

cranial advancing, the breast morphology. Considering the simplicity of the procedure and to the low number of side effects,

we consider this method as an optimal alternative to the direct closure after the removal of the central quadrant including the

nipple areola complex (NAC).