Application of contralateral mastoplasty in breast reconstruction after breast cancer surgery_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

JIAN Chenxing ¹ , LIN Lisheng ² ,  WU Limin ^1,2 , LI Hang ² , ZHENG Zifang ¹ , SONG Yucheng ¹ , LIU Wei ¹

1. Department of Minimally Invasive Surgery, Affiliated Hospital of Putian University, Putian Fujian, 351100, P.R.China;
2. Department of Breast Surgery, Affiliated Hospital of Putian University, Putian Fujian, 351100, P.R.China;

Corresponding author：

WU Limin, Email: ptxywlm@126.com

Keywords：

Breast cancer; breast reconstruction; symmetry; plasty

DOI：

10.7507/1002-1892.201810112

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To introduce a contralateral mastoplasty in breast reconstruction with prosthesis after breast cancer surgery in order to gain bilateral breasts symmetry.Methods Between January 2016 and June 2018, 11 female patients with breast cancer were treated, aged 34-64 years old (mean, 49.6 years). There were 5 cases in left side and 6 cases in right side. There were 3 cases of invasive carcinoma and 8 cases of intraductal carcinoma. The diameter of tumor was 0.2-4.1 cm (mean, 2.5 cm). The disease duration ranged from 1 to 15 months (mean, 6 months). According to Regnault grading criteria, there were 7 cases of mild breast ptosis and 4 cases of moderate breast ptosis. Simple nipple-sparing mastectomy and reconstruction using prosthesis of the affected side, and folding and lifting of the nipple-areolar complex of the healthy side were performed.Results The operation time was 144-188 minutes (mean, 158 minutes). The hospital stay was 6-9 days (mean, 7.5 days). Postoperatively, poor incision healing occurred in 1 case and healed after symptomatic treatment. The other incisions healed well and no surgical-related complications occurred. All patients were followed up 6-30 months (mean, 16 months). At 3 months after operation, the expert group adopted the self-made rating scale to evaluate the bilateral breasts symmetry, and the score was 8-10 (mean, 8.9). The patients were evaluated for their satisfaction according to the self-made score scale, and the score was 8-10 (mean, 9.1).Conclusion After immediate breat reconstruction with prosthesis after breast cancer surgery, the satisfied bilateral breasts appearances and symmetry can be obtained by contralateral mastoplasty.

Citation： JIAN Chenxing, LIN Lisheng, WU Limin, LI Hang, ZHENG Zifang, SONG Yucheng, LIU Wei. Application of contralateral mastoplasty in breast reconstruction after breast cancer surgery. Chinese Journal of Reparative and Reconstructive Surgery, 2019, 33(3): 337-340. doi: 10.7507/1002-1892.201810112 Copy

1.	Pinell-White XA, Duggal C, Metcalfe D, et al. Patient-reported quality of life breast reconstruction: A one-year longitudinal study using the WHO-QOL survey. Ann Plast Surg, 2015, 75(2): 144-148.
2.	Neto MS, de Aguiar Menezes MV, et al. Sexuality after breast reconstruction post mastectomy. Aesthetic Plast Surg, 2013, 37(3): 643-647.
3.	Roh DS, Treiser MD, Lafleur EH, et al. Technique to promote symmetry in 2-staged bilateral breast reconstruction in the setting of unilateral postmastectomy radiation. Ann Plast Surg, 2017, 78(4): 386-391.
4.	De Biasio F, Zingaretti N, De Lorenzi F, et al. Reduction mammaplasty for breast symmetrisation in implant-based reconstructions. Aesthetic Plast Surg, 2017, 41(4): 773-781.
5.	Huang JJ, Wu CW, Leon Lam W, et al. Simultaneous contralateral breast reduction/mastopexy with unilateral breast reconstruction using free abdominal flaps. Ann Plast Surg, 2011, 67(4): 336-342.
6.	Laporta R, Longo B, Sorotos M, et al. One-stage DIEP flapbreast reconstruction: Algorithm for immediate contralateral symmetrization. Microsurgery, 2015, 36(1): 7-19.
7.	Stevenson TR, Goldstein JA. TRAM flap breast reconstruction and contralateral reduction or mastopexy. Plast Reconstr Surg, 1993, 92(2): 228-233.
8.	刘立刚, 武勇进, 王亮, 等. 保留乳房皮肤的乳腺切除与即刻乳房再造. 中国修复重建外科杂志, 2004, 18(6): 471-474.
9.	柴丽君, 张学慧. 前锯肌肌瓣在乳腺癌改良根治术后即刻乳房再造中的应用. 中国修复重建外科杂志, 2017, 31(9): 1098-1101.
10.	胡小戊, 章乐虹, 陈欣欣, 等. 部分背阔肌皮瓣或侧胸壁脂肪筋膜皮瓣在外侧象限乳腺癌保乳治疗中的应用. 中国修复重建外科杂志, 2017, 31(9): 1151-1152.
11.	黄贞强, 陈凯, 李顺荣, 等. 经腋窝切口腔镜下乳房皮下腺体切除联合即刻乳房重建的疗效观察. 中国修复重建外科杂志, 2018, 32(11): 1458-1462.
12.	宋达疆, 李赞, 周晓, 等. 股薄肌皮瓣联合大收肌穿支皮瓣在乳房重建中的应用. 中国修复重建外科杂志, 2018, 32(6): 707-713.
13.	刘梦友, 金功圣, 陈晨, 等. 保留乳头乳晕乳腺癌改良根治术后即刻扩展型背阔肌乳房再造术的临床应用. 中国普通外科杂志, 2018, 27(5): 601-607.
14.	张辉, 林孟波, 陈晓耕, 等. 早期乳腺癌行保留乳头乳晕全乳切除术并一期乳房重建的治疗效果. 外科研究与新技术, 2018, 7(1): 4-8.
15.	邹伟伟, 白玉, 杨振林, 等. 胸大肌筋膜在乳腺癌乳房切除后即刻乳房重建中的应用. 中国普通外科杂志, 2017, 26(11): 1447-1452.
16.	孙建伟, 刘春生, 赖明华, 等. 保留 NAC 的改良根治术并一期乳房重建术治疗早期乳腺癌的临床效果. 中国普通外科杂志, 2015, 24(11): 1530-1535.
17.	郭瑢, 吴炅. 乳腺癌乳房整形外科应用现状与进展. 中国肿瘤外科杂志, 2018, 10(3): 141-146.
18.	刘岩, 穆籣, 李广学, 等. 乳房再造同期行对侧乳房对称性整形手术的初步探讨. 中国修复重建外科杂志, 2016, 30(10): 1253-1257.

1. Pinell-White XA, Duggal C, Metcalfe D, et al. Patient-reported quality of life breast reconstruction: A one-year longitudinal study using the WHO-QOL survey. Ann Plast Surg, 2015, 75(2): 144-148.
2. Neto MS, de Aguiar Menezes MV, et al. Sexuality after breast reconstruction post mastectomy. Aesthetic Plast Surg, 2013, 37(3): 643-647.
3. Roh DS, Treiser MD, Lafleur EH, et al. Technique to promote symmetry in 2-staged bilateral breast reconstruction in the setting of unilateral postmastectomy radiation. Ann Plast Surg, 2017, 78(4): 386-391.
4. De Biasio F, Zingaretti N, De Lorenzi F, et al. Reduction mammaplasty for breast symmetrisation in implant-based reconstructions. Aesthetic Plast Surg, 2017, 41(4): 773-781.
5. Huang JJ, Wu CW, Leon Lam W, et al. Simultaneous contralateral breast reduction/mastopexy with unilateral breast reconstruction using free abdominal flaps. Ann Plast Surg, 2011, 67(4): 336-342.
6. Laporta R, Longo B, Sorotos M, et al. One-stage DIEP flapbreast reconstruction: Algorithm for immediate contralateral symmetrization. Microsurgery, 2015, 36(1): 7-19.
7. Stevenson TR, Goldstein JA. TRAM flap breast reconstruction and contralateral reduction or mastopexy. Plast Reconstr Surg, 1993, 92(2): 228-233.
8. 刘立刚, 武勇进, 王亮, 等. 保留乳房皮肤的乳腺切除与即刻乳房再造. 中国修复重建外科杂志, 2004, 18(6): 471-474.
9. 柴丽君, 张学慧. 前锯肌肌瓣在乳腺癌改良根治术后即刻乳房再造中的应用. 中国修复重建外科杂志, 2017, 31(9): 1098-1101.
10. 胡小戊, 章乐虹, 陈欣欣, 等. 部分背阔肌皮瓣或侧胸壁脂肪筋膜皮瓣在外侧象限乳腺癌保乳治疗中的应用. 中国修复重建外科杂志, 2017, 31(9): 1151-1152.
11. 黄贞强, 陈凯, 李顺荣, 等. 经腋窝切口腔镜下乳房皮下腺体切除联合即刻乳房重建的疗效观察. 中国修复重建外科杂志, 2018, 32(11): 1458-1462.
12. 宋达疆, 李赞, 周晓, 等. 股薄肌皮瓣联合大收肌穿支皮瓣在乳房重建中的应用. 中国修复重建外科杂志, 2018, 32(6): 707-713.
13. 刘梦友, 金功圣, 陈晨, 等. 保留乳头乳晕乳腺癌改良根治术后即刻扩展型背阔肌乳房再造术的临床应用. 中国普通外科杂志, 2018, 27(5): 601-607.
14. 张辉, 林孟波, 陈晓耕, 等. 早期乳腺癌行保留乳头乳晕全乳切除术并一期乳房重建的治疗效果. 外科研究与新技术, 2018, 7(1): 4-8.
15. 邹伟伟, 白玉, 杨振林, 等. 胸大肌筋膜在乳腺癌乳房切除后即刻乳房重建中的应用. 中国普通外科杂志, 2017, 26(11): 1447-1452.
16. 孙建伟, 刘春生, 赖明华, 等. 保留 NAC 的改良根治术并一期乳房重建术治疗早期乳腺癌的临床效果. 中国普通外科杂志, 2015, 24(11): 1530-1535.
17. 郭瑢, 吴炅. 乳腺癌乳房整形外科应用现状与进展. 中国肿瘤外科杂志, 2018, 10(3): 141-146.
18. 刘岩, 穆籣, 李广学, 等. 乳房再造同期行对侧乳房对称性整形手术的初步探讨. 中国修复重建外科杂志, 2016, 30(10): 1253-1257.

Chinese Journal of Reparative and Reconstructive Surgery

Application of contralateral mastoplasty in breast reconstruction after breast cancer surgery

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content