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Selection of oncoplastic surgical technique in Asian breast cancer patients

Authors
 Eui Sun Shin  ;  Hyo In Kim  ;  Seung Yong Song  ;  Dae Hyun Lew  ;  Dong Won Lee 
Citation
 Archives of Plastic Surgery, Vol.45(1) : 37-44, 2018 
Journal Title
 Archives of Plastic Surgery 
ISSN
 2234-6163 
Issue Date
2018
Keywords
Breast neoplasms ; Mammaplasty ; Surgical flaps
Abstract
BACKGROUND: Oncoplastic surgery is being increasingly performed in Korean women; however, unlike Westerners, Korean women usually have small to moderate-sized breasts. To achieve better outcomes in reconstructed breasts, several factors should be considered to determine the optimal surgical method. METHODS: A total of 108 patients who underwent oncoplastic surgery from January 2013 to December 2016 were retrospectively investigated. We used various methods, including glandular tissue reshaping, latissimus dorsi (LD) flap transposition, and reduction oncoplasty, to restore the breast volume and symmetry. RESULTS: The mean weight of the tumor specimens was 40.46 g, and the ratio of the tumor specimen weight to breast volume was 0.12 g/mL in the patients who underwent glandular tissue reshaping (n=59). The corresponding values were 101.47 g and 0.14 g/mL, respectively, in the patients who underwent reduction oncoplasty (n=17), and 82.54 g and 0.20 g/mL, respectively, in those treated with an LD flap (n=32). Glandular tissue reshaping was mostly performed in the upper outer quadrant, and LD flap transposition was mostly performed in the lower inner quadrant. No major complications were noted. Most patients were satisfied with the aesthetic results. CONCLUSIONS: We report satisfactory outcomes of oncoplastic surgical procedures in Korean patients. The results regarding specimen weight and the tumor-to-breast ratio of Asian patients will be a helpful reference point for determining the most appropriate oncoplastic surgical technique.
Files in This Item:
T201800362.pdf Download
DOI
10.5999/aps.2017.00836
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
2. College of Dentistry (치과대학) > Dept. of Conservative Dentistry (보존과학교실) > 1. Journal Papers
Yonsei Authors
송승용(Song, Seung Yong) ORCID logo https://orcid.org/0000-0002-3145-7463
유대현(Lew, Dae Hyun)
이동원(Lee, Dong Won) ORCID logo https://orcid.org/0000-0003-0046-3139
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/161954
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