Oncoplastic Breast Surgery after Partial Mastectomy
Using Thoracoepigastric Fasciocutaneous Flap

Kim, Gil-Hwan; Lee, Jee Yeon; Lee, Seok Won; Bae, Young Tae

doi:2012.8.1.37

Korean Journal of Clinical Oncology > Article

Original Article

Korean Journal of Clinical Oncology 2012;8(1): 37-43.

부분유방 절제술 후 흉복벽 근막피부 피판술을 이용한 유방 종양성형술

김길환, 이지연, 이석원, 배영태

부산대학교 의과대학

Oncoplastic Breast Surgery after Partial Mastectomy Using Thoracoepigastric Fasciocutaneous Flap

Gil-Hwan Kim, Jee Yeon Lee, Seok Won Lee, Young Tae Bae

Department of Surgery, Clinical Medial Research Institute, Pusan National University, College of Medicine

Corresponding Author: Young Tae Bae ,Tel: +82-51-240-7238, Fax: +82-51-247-1365, Email: bytae@pusan.ac.kr

Received: April 19, 2012; Accepted: June 21, 2012.

ABSTRACT

Purpose : Not only oncologic safety but also satisfactory cosmetic results can be achieved by oncoplastic breast surgery. Authors applied thorcoepigastirc fasciocutaneous flap as oncoplastic surgery for patient with lower or cental portion of breast cancer, to assess the usefulness of this procedure. Patients and methods : A total of thirty-eight patients with lower or central portion of breast cancer underwent a partial mastectomy with immediate thorcoepigastirc fasciocutaneous flap reconstruction. The clinicopathologic factors were analyzed retrospectively and the cosmetic outcomes were evaluated based on 4-point scoring system. Results : The mean follow-up period was 12.2 months and mean tumor size was 1.8 cm. The mean excised breast volume was 67.9 mm3 and the cosmetic result showed excellent in 21 (55.3%) and good in 13 (34.2%). Conclusion : The partial mastectomy with immediate thoracoepigastric fasciocutaneous flap would be a useful oncoplastic surgery for breast cancers which are located in lower or central portion of the breast.

Keywords: breast cancer | oncoplastic surgery | thoracoepigastric fasciocutaneous flap