Breast reduction and mastopexy combined with inferior dermo-lipo-glandular flap (autoprosthesis) gives good breast shape, long-term projection, and upper pole fullness. We assess the impact on breast oncologic surveillance compared to other techniques.
A total of 105 patients who underwent mastectomy and reconstruction were divided into 3 groups of 35 patients each: groups 1 and 2 include patients with contralateral breast symmetrization performed with and without autoprosthesis technique, respectively. Group 3 is a control group without contralateral breast reshaping. On mammography, edema, skin thickening, architectural distortion, and calcifications were recorded, as well as further diagnostic examinations, biopsies, and surgical treatments required.
Statistically significant differences (p<0.001) in the first follow-up mammography between groups 1 and 2 were stromal edema (6% vs 51%) and architectural distortion (74% vs 63%). The latest findings meant architectural distortion also have significant difference (p<0.001) in the last mammography (79% vs 66%). Microcalcification has statistically significant difference (p<0.001) in the latest postsurgical mammography, increased in group 1. Skin thickening had a similar course in either group. Mammography follow-up was not impaired in most cases notwithstanding the parenchyma distortion as compared with mammography after breast-conserving surgery. Four core biopsies were performed in both groups: 3 new breast cancers and 1 benign epithelial hyperplasia were found.
No difficulties were found impairing mammographic evaluation in patients treated with autoprosthesis as compared to other techniques.
Tumori 2016; 102(1): 77 - 83
Article Type: ORIGINAL RESEARCH ARTICLE
AuthorsGianfranco Scaperrotta, Emanuela Capalbo, Claudio Ferranti, Giuseppe Falco, Maurizio B. Nava, Gianni Di Leo, Monica Marchesini, Laura Suman, Pietro Panizza
- • Accepted on 22/06/2015
- • Available online on 10/09/2015
- • Published in print on 04/02/2016
This article is available as full text PDF.
- Scaperrotta, Gianfranco [PubMed] [Google Scholar] 1, * Corresponding Author (Gianfranco.email@example.com)
- Capalbo, Emanuela [PubMed] [Google Scholar] 2
- Ferranti, Claudio [PubMed] [Google Scholar] 1
- Falco, Giuseppe [PubMed] [Google Scholar] 3
- Nava, Maurizio B. [PubMed] [Google Scholar] 4
- Di Leo, Gianni [PubMed] [Google Scholar] 5
- Marchesini, Monica [PubMed] [Google Scholar] 1
- Suman, Laura [PubMed] [Google Scholar] 1
- Panizza, Pietro [PubMed] [Google Scholar] 1
Department of Diagnostic Radiology 1, Breast Imaging, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan - Italy
Scuola di Specializzazione di Radiodiagnostica, Università degli Studi di Milano, Milan - Italy
Department of Anaesthesiological, Surgical and Emergency Sciences, Second University of Napoli, Napoli - Italy
Department of Plastic and Reconstructive Surgery, Fondazione IRCCS Istituto Nazionale Tumori, Milan - Italy
Servizio di Radiologia, IRCCS Policlinico San Donato, San Donato Milanese, Milan - Italy