An Innovative Breast-Conserving Oncoplastic Technique for Treating Small to Medium Volume Breasts With a Tumor in the Lower Quadrant: The Folding Flap Technique
BackgroundHere, we describe an innovative oncoplastic technique for small to medium volume breasts with a tumor in the lower quadrant and this technique could provide sufficient tissue to avoid visible defects after tumor removal and help reshape the natural shape of the breast.MethodsA detailed pro...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
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Frontiers Media S.A.
2022-03-01
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| Series: | Frontiers in Oncology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2022.841682/full |
| _version_ | 1818199595890507776 |
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| author | Wenjie Shi Maoli Wang Luz Angela Torres-de la Roche Xuefeng Shi Zhenyu Gong Jie Dong Zihao Chen Jiajia Zeng Yicheng Jiang Zhitong Chen Kejin Wu Rui Zhuo Rudy Leon De Wilde |
| author_facet | Wenjie Shi Maoli Wang Luz Angela Torres-de la Roche Xuefeng Shi Zhenyu Gong Jie Dong Zihao Chen Jiajia Zeng Yicheng Jiang Zhitong Chen Kejin Wu Rui Zhuo Rudy Leon De Wilde |
| author_sort | Wenjie Shi |
| collection | DOAJ |
| description | BackgroundHere, we describe an innovative oncoplastic technique for small to medium volume breasts with a tumor in the lower quadrant and this technique could provide sufficient tissue to avoid visible defects after tumor removal and help reshape the natural shape of the breast.MethodsA detailed procedure for the folding flap technique is described step by step. Then, the results of a retrospective analysis of patients treated using this technique, including complications and disease recurrence rate, between January 2017 and November 2021 are reported. Aesthetic outcomes were evaluated on a 5-point scale proposed by the Paris Breast Center.ResultsA total of 52 patients underwent surgery with the folding flap technique, The average operation time was 98.4 min (range, 75–120 min), and the mean bleeding volume was 56.5 mL (range, 20–100 mL). A margin-positive result was confirmed in 1 patient who underwent re-excision. Short-term postoperative complications were observed in 7 patients, including 4 with fat liquefaction, 2 with seroma, and 1 with skin redness and swelling. No flap necrosis was observed. The median follow-up time was 28.6 months (range, 9–58 months), and 2 patients experienced local recurrence. The mean aesthetic score was 4.7 points, with 36 patients scoring 5 points and 26 patients scoring 4 points, respectively.ConclusionsThe folding flap technique, as an innovative and favorable oncoplastic technique for treating small- to medium-volume breasts with a tumor in the lower quadrant, could retain sufficient tissue to fill the residual cavity after the operation while improving the aesthetic outcome of the breast. |
| first_indexed | 2024-12-12T02:24:16Z |
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| issn | 2234-943X |
| language | English |
| last_indexed | 2024-12-12T02:24:16Z |
| publishDate | 2022-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-b737ac4176ab45f2b87e74865fe2ba6f2022-12-22T00:41:36ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-03-011210.3389/fonc.2022.841682841682An Innovative Breast-Conserving Oncoplastic Technique for Treating Small to Medium Volume Breasts With a Tumor in the Lower Quadrant: The Folding Flap TechniqueWenjie Shi0Maoli Wang1Luz Angela Torres-de la Roche2Xuefeng Shi3Zhenyu Gong4Jie Dong5Zihao Chen6Jiajia Zeng7Yicheng Jiang8Zhitong Chen9Kejin Wu10Rui Zhuo11Rudy Leon De Wilde12University Hospital for Gynecology, Pius-Hospital, University Medicine Oldenburg, Oldenburg, GermanyDepartment of Breast Surgery, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, ChinaUniversity Hospital for Gynecology, Pius-Hospital, University Medicine Oldenburg, Oldenburg, GermanyDepartment of Breast Surgery, EUSOMA Certified Breast Center, Guilin TCM Hospital of China, Guilin, ChinaInternational Center for Aesthetic Medicine, Affiliated Hospital of Guilin Medical University, Guilin, ChinaDepartment of Breast Surgery, EUSOMA Certified Breast Center, Guilin TCM Hospital of China, Guilin, ChinaUniversity Hospital for Gynecology, Pius-Hospital, University Medicine Oldenburg, Oldenburg, GermanyDepartment of Breast Surgery, EUSOMA Certified Breast Center, Guilin TCM Hospital of China, Guilin, ChinaUniversity Hospital for Gynecology, Pius-Hospital, University Medicine Oldenburg, Oldenburg, GermanyUniversity Hospital for Gynecology, Pius-Hospital, University Medicine Oldenburg, Oldenburg, GermanyDepartment of Breast Surgery, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, ChinaDepartment of Breast Surgery, EUSOMA Certified Breast Center, Guilin TCM Hospital of China, Guilin, ChinaUniversity Hospital for Gynecology, Pius-Hospital, University Medicine Oldenburg, Oldenburg, GermanyBackgroundHere, we describe an innovative oncoplastic technique for small to medium volume breasts with a tumor in the lower quadrant and this technique could provide sufficient tissue to avoid visible defects after tumor removal and help reshape the natural shape of the breast.MethodsA detailed procedure for the folding flap technique is described step by step. Then, the results of a retrospective analysis of patients treated using this technique, including complications and disease recurrence rate, between January 2017 and November 2021 are reported. Aesthetic outcomes were evaluated on a 5-point scale proposed by the Paris Breast Center.ResultsA total of 52 patients underwent surgery with the folding flap technique, The average operation time was 98.4 min (range, 75–120 min), and the mean bleeding volume was 56.5 mL (range, 20–100 mL). A margin-positive result was confirmed in 1 patient who underwent re-excision. Short-term postoperative complications were observed in 7 patients, including 4 with fat liquefaction, 2 with seroma, and 1 with skin redness and swelling. No flap necrosis was observed. The median follow-up time was 28.6 months (range, 9–58 months), and 2 patients experienced local recurrence. The mean aesthetic score was 4.7 points, with 36 patients scoring 5 points and 26 patients scoring 4 points, respectively.ConclusionsThe folding flap technique, as an innovative and favorable oncoplastic technique for treating small- to medium-volume breasts with a tumor in the lower quadrant, could retain sufficient tissue to fill the residual cavity after the operation while improving the aesthetic outcome of the breast.https://www.frontiersin.org/articles/10.3389/fonc.2022.841682/fullbreast canceroncoplasticbreast conservinglower quadrantfolding flap |
| spellingShingle | Wenjie Shi Maoli Wang Luz Angela Torres-de la Roche Xuefeng Shi Zhenyu Gong Jie Dong Zihao Chen Jiajia Zeng Yicheng Jiang Zhitong Chen Kejin Wu Rui Zhuo Rudy Leon De Wilde An Innovative Breast-Conserving Oncoplastic Technique for Treating Small to Medium Volume Breasts With a Tumor in the Lower Quadrant: The Folding Flap Technique Frontiers in Oncology breast cancer oncoplastic breast conserving lower quadrant folding flap |
| title | An Innovative Breast-Conserving Oncoplastic Technique for Treating Small to Medium Volume Breasts With a Tumor in the Lower Quadrant: The Folding Flap Technique |
| title_full | An Innovative Breast-Conserving Oncoplastic Technique for Treating Small to Medium Volume Breasts With a Tumor in the Lower Quadrant: The Folding Flap Technique |
| title_fullStr | An Innovative Breast-Conserving Oncoplastic Technique for Treating Small to Medium Volume Breasts With a Tumor in the Lower Quadrant: The Folding Flap Technique |
| title_full_unstemmed | An Innovative Breast-Conserving Oncoplastic Technique for Treating Small to Medium Volume Breasts With a Tumor in the Lower Quadrant: The Folding Flap Technique |
| title_short | An Innovative Breast-Conserving Oncoplastic Technique for Treating Small to Medium Volume Breasts With a Tumor in the Lower Quadrant: The Folding Flap Technique |
| title_sort | innovative breast conserving oncoplastic technique for treating small to medium volume breasts with a tumor in the lower quadrant the folding flap technique |
| topic | breast cancer oncoplastic breast conserving lower quadrant folding flap |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2022.841682/full |
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