Versatility of therapeutic reduction mammoplasty in oncoplastic breast conserving surgery

Figure 1 Distribution of the pattern incisions used in breast cancer patients treated using oncoplastic conservative approach at our unit.

Figure 2 A 40-year-old postmenopausal woman with an invasive ductal carcinoma with positive estrogenic, progesterone and Herb2 receptors situated at central quadrant of right breast which sized 15 mm on mammograms. A and B: Appearance of patient. Design of pattern of therapeutic reduction mammaplasty; C and D: Nipple areola complex right reconstructed by contralateral areola graft. Long-term aesthetic outcome.

Figure 3 Appearance of a 49-year-old woman after underwent oncoplastic breast conserving surgery and posterior adjuvant chemotherapy and radiotherapy. She had a bifocal invasive lobulillar carcinoma situated at intersection of upper quadrants with positive estrogenic and progesterone receptors and T₂N₀M₀ pathological staging. She presents breast asymmetry which she wants it to be corrected.

Figure 4 A 44-year-old premenopausal female with an invasive ductal carcinoma at upper outer quadrant of the left breast which sized 35 mm on mammograms who was treated with neoadjuvant chemotherapy before surgery. A therapeutic bilateral reduction mammaplasty with T inverted pattern incision and superomedial pedicle used for shifting nipple areola complex and an infero-lateral one to fill the breast defect caused by extirpation of a surgical specimen weighted 223 g was carried out. Pathological study showed a tumor size 12 mm, one negative sentinel lymph node and free surgical margins. A: Design of pattern incision with three wires inserted to guide tumor excision; B: X-ray of surgical specimen showed complete radiological removal of tumor; C: Appearance on early postoperative period; D: Long-term aesthetic outcome three years after breast conserving treatment shows both breasts with pseudotosis.