Immediate reconstruction following breast-conserving surgery: Management of the positive surgical margins and influence on secondary reconstruction

Breast

Volumn 18, Issue 1, 2009, Pages 47-54

  Munhoz, Alexandre Mendonça ^a,b   Montag, Eduardo ^a,b   Arruda, Eduardo ^a,b   Aldrighi, Cláudia Maria ^a,b   Filassi, José R ^a,b   Piato, José R ^a,b   Prado, Luis C ^a,b   Aldrighi, José Mendes ^a,b   Gemperli, Rolf ^a,b   Ferreira, Marcus C ^a,b  

^a UNIVERSITY OF SÃO PAULO   (Brazil)

^b HOSPITAL SÍRIO LIBANÊS   (Brazil)

Author keywords

Breast reconstruction; Complication; Conservative breast surgery; Conservative breast surgery reconstruction; Frozen sections; Oncoplastic; Oncoplastic breast surgery; Partial mastectomy; Partial mastectomy reconstruction; Surgical margins

Indexed keywords

ANTINEOPLASTIC AGENT;

ADULT; AGED; ARTICLE; BREAST CANCER; BREAST RECONSTRUCTION; BREAST SURGERY; CANCER ADJUVANT THERAPY; CANCER RADIOTHERAPY; CLINICAL EFFECTIVENESS; FOLLOW UP; FROZEN SECTION; HISTOPATHOLOGY; HUMAN; INTERDISCIPLINARY COMMUNICATION; MAJOR CLINICAL STUDY; MASTECTOMY; PEROPERATIVE CARE; POSTOPERATIVE CARE; PRIORITY JOURNAL; REOPERATION; SURGICAL TECHNIQUE; TREATMENT INDICATION; TREATMENT PLANNING; TREATMENT RESPONSE; TUMOR LOCALIZATION; TUMOR VOLUME;

EID: 59849115158     PISSN: 09609776     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.breast.2008.10.005     Document Type: Article

References (40)

1. Fisher B., Anderson S., Bryant J., et al. Twenty-year follow-up of a randomized trial comparing total mastectomy, lumpectomy, and lumpectomy plus irradiation for the treatment of invasive breast cancer. N Engl J Med 347 (2002) 1233-1237
2. Veronesi U., Cascinelli N., Mariani L., et al. Twenty-year follow-up of a randomized study comparing breast-conserving surgery with radical mastectomy for early breast cancer. N Engl J Med 347 (2002) 1227-1234
3. Olson T.P., Harter J., Muñoz A., et al. Frozen section analysis for intraoperative margin assessment during breast-conserving surgery results in low rates of re-excision and local recurrence. Ann Surg Oncol 14 (2007) 2953-2960
4. Slavin S.A., and Halperin T. Reconstruction of the breast conservation deformity. Semin Plast Surg 18 (2004) 89-99
5. Clough K.B., Lewis J.S., Couturaud B., et al. Oncoplastic techniques allow extensive resection for breast-conserving therapy of breast carcinomas. Ann Surg 237 (2003) 26-31
6. Berrino P., Campora E., and Santi P. Postquadrantectomy breast deformities: classification and techniques of surgical correction. Plast Reconstruct Surg 79 (1987) 567-573
7. Clough K.B., Cuminet J., Fitoussi A., et al. Cosmetic sequelae after conservative treatment for breast cancer: classification and results of surgical correction. Ann Plast Surg 41 (1998) 471-477
8. Clough K.B., Kroll S.S., and Audretsch W. An approach to the repair of partial mastectomy defects. Plast Reconstr Surg 104 (1999) 409-415
9. Kroll S.S., and Singletary S.E. Repair of partial mastectomy defects. Clin Plast Surg 25 (1998) 303-310
10. Kronowitz S.J., Feledy J.A., Hunt K.K., et al. Determining the optimal approach to breast reconstruction after partial mastectomy. Plast Reconstr Surg 117 (2006) 1-10
11. Masetti R., Di Leone A., Franceschini G., et al. Oncoplastic techniques in the conservative surgical treatment of breast cancer: an overview. Breast J 12 (2006) 174-182
12. Anderson B.O., Masetti R., and Silverstein M.J. Oncoplastic approaches to partial mastectomy: an overview of volume-displacement techniques. Lancet Oncol 6 (2005) 145-152
13. Munhoz A.M., Aldrighi C., and Ferreira M.C. Paradigms in oncoplastic breast surgery: a careful assessment of the oncological need and aesthetic objective. Breast J 13 (2007) 326-327
14. Munhoz A.M., Aldrighi C.M., and Aldrighi J.M. Is necessary the participation of the plastic surgeon in the planning of the conservative breast surgery?. Rev Assoc Med Bras 51 (2005) 5-6
15. Munhoz A.M., Montag E., Arruda E.G., et al. Outcome analysis of breast-conservation surgery and immediate latissimus dorsi flap reconstruction in patients with T1 to T2 breast cancer. Plast Reconstr Surg 116 (2005) 741-751
16. Munhoz A.M., Montag E., Arruda E.G., et al. The role of the lateral thoracodorsal fasciocutaneous flap in immediate conservative breast surgery reconstruction. Plast Reconstr Surg 117 (2006) 1699-1707
17. Munhoz A.M., Montag E., Fels K.W., et al. Critical analysis of reduction mammaplasty techniques in combination with conservative breast surgery for early breast cancer treatment. Plast Reconstr Surg 117 (2006) 1091-1104
18. Munhoz A.M., Montag E., Arruda E.G., et al. Superior-medial dermoglandular pedicle reduction mammaplasty for immediate conservative breast surgery reconstruction. Ann Plast Surg 57 (2006) 502-510
19. Munhoz A.M., Montag E., Arruda E., et al. Reliability of inferior dermoglandular pedicle reduction mammaplasty in reconstruction of partial mastectomy defects: surgical planning and outcome. Breast 16 (2007) 577-586
20. Munhoz A.M., Montag E., Arruda E., et al. Assessment of immediate conservative breast surgery reconstruction: a classification system of defects revisited and an algorithm for selecting the appropriate technique. Plast Reconstr Surg 121 (2008) 716-727
21. Smith M.L., Evans G.R., Gurlek A., et al. Reduction mammaplasty: its role in breast conservation surgery for early-stage breast cancer. Ann Plast Surg 41 (1998) 234-242
22. Newman L.A., Kuerer H.M., McNeese M.D., et al. Reduction mammoplasty improves breast conservation therapy in patients with macromastia. Am J Surg 181 (2001) 215-221
23. Losken A., Elwood E.T., and Styblo T.M. Bostwick J 3rd. The role of reduction mammaplasty in reconstructing partial mastectomy defects. Plast Reconstr Surg 109 (2002) 968-975
24. Spear S.L., Pelletiere C.V., Wolfe A.J., et al. Experience with reduction mammaplasty combined with breast conservation therapy in the treatment of breast cancer. Plast Reconstr Surg 111 (2003) 1102-1109
25. Chang E., Johnson N., Webber B., et al. Bilateral reduction mammoplasty in combination with lumpectomy for treatment of breast cancer in patients with macromastia. Am J Surg 187 (2004) 647-654
26. McCulley S.J., Durani P., and Macmillan R.D. Therapeutic mammaplasty for centrally located breast tumors. Plast Reconstr Surg 117 (2006) 366-374
27. Laucirica R. Intraoperative assessment of the breast: guidelines and potential pitfalls. Arch Pathol Lab Med 129 (2005) 1565-1578
28. Losken A., Styblo T.M., Carlson G.W., et al. Management algorithm and outcome evaluation of partial mastectomy defects treated using reduction or mastopexy techniques. Ann Plast Surg 59 (2007) 235-242
29. Cabioglu N., Hunt K.K., Sahin A.A., et al. Role for intraoperative margin assessment in patients undergoing breast-conserving surgery. Ann Surg Oncol 14 (2007) 1458-1464
30. Balch G.C., Mithani S.K., Simpson J.F., and Kelley M.C. Accuracy of intraoperative gross examination of surgical margin status in women undergoing partial mastectomy for breast malignancy. Am Surg 71 (2005) 22-31
31. Singletary S.E. Surgical margins in patients with early-stage breast cancer treated with breast conservation therapy. Am J Surg 184 (2002) 383-392
32. Huston T.L., Pigalarga R., Osborne M.P., and Tousimis E. The influence of additional surgical margins on the total specimen volume excised and the reoperative rate after breast-conserving surgery. Am J Surg 192 (2006) 509-515
33. Cendán J.C., Coco D., and Copeland E.M. Accuracy of intraoperative frozen-section analysis of breast cancer lumpectomy margins. J Am Coll Surg 201 (2005) 194-203
34. Weber S., Storm F.K., Stitt J., and Mahvi D.M. The role of frozen section analysis of margins during breast conserving surgery. Cancer J Sci Am 3 (1997) 273-280
35. Tot T. Clinical relevance of the distribution of the lesions in 500 consecutive breast cancer cases documented in large-format histologic sections. Cancer 110 11 (2007) 2551-2560
36. Holland R., Veling S.H., Mravunac M., and Hendriks J.H. Histologic multifocality of Tis, T1-2 breast carcinomas. Implications for clinical trials of breast-conserving surgery. Cancer 56 5 (1985) 979-990 1
37. Weinberg E., Cox C., Dupont E., et al. Local recurrence in lumpectomy patients after imprint cytology margin evaluation. Am J Surg 188 (2004) 349-354
38. Rietjens M., Urban C.A., Rey P.C., et al. Long-term oncological results of breast conservative treatment with oncoplastic surgery. Breast 16 (2007) 387-394
39. Obedian E., and Haffty B.G. Negative margin status improves local control in conservatively managed breast cancer patients. Cancer J Sci Am 6 (2000) 28-34
40. Tartter P.I., Kaplan J., Bleiweiss I., et al. Lumpectomy margins, re-excision, and local recurrence of breast cancer. Am J Surg 179 (2000) 81-89