breast-cancer-2016_posters-accepted-abstracts

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Volume 8, Issue 8(Suppl) J Cancer Sci Ther
ISSN: 1948-5956 JCST, an open access journal
Page 110
Breast Cancer Congress 2016
September 19-21, 2016
conferenceseries.com
Breast Cancer September 19-21, 2016 Phoenix, USA
2nd World Congress on
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 4th and the 5th 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).
J Cancer Sci Ther 2016, 8:8(Suppl)
Nutritional status of women of reproductive age in a selected char of Rangpur district
Md Zahid Hasan Khan
Northern University, Bangladesh
An observational cross-sectional study was carried out at Rangpur district in Bangladesh to assess nutritional status of
reproductive aged women residing in char area with a sample size 200. Face to face interview was carried out with the
semi-structured questionnaire. Convenient sampling technique was used to collect data on the basis of inclusion and exclusion
criteria and written consent was taken prior to interview. Nutritional status was determined according to BMI cut off value
for Asian population. Descriptive as well as inferential statistics were used to present data. Mean±SD age of respondents was
34.27±8.60. More than half (67%) of the respondents were illiterate and housewife (84%). Mean±SD income of respondents
was 5700.71±282.89 per month. Underweight, normal and overweight were 67%, 30% and 3% respectively. Most respondents
took rice 2-3times/day. Vegetables and soybean were taken randomly. Lentil was taken daily. Arthritis, headache, skin disease
was more common. Statistical significant association was found between nutritional status and age group (p<0.05), education
(p<0.05), occupation (p<0.05) and monthly income (p≤0.05). Half of the respondents suffered from underweight and most
of them income was very low. Income generating capacity should be increased as well effective nutrition education program
must be instituted.