Direct Impact

Concepts for which they have direct influence:

breast conservation therapy
bilateral mammoplasty
completion mastectomy
inadequate margin
satisfaction rate
cancer macromastia

External impact

Concepts related to the work of other authors :

breast conservation
induction chemotherapy
tumor downstaging
radiation therapy
solitary lesions
segmental mastectomy
axillary lymph node dissection

Reduction mammoplasty improves breast conservation therapy in patients with macromastia

Abstract

BACKGROUND: Macromastia has been considered a contraindication to breast conservation therapy because of difficulties with radiation therapy. This study evaluates the feasibility of bilateral reduction mammoplasty as a component of breast conservation therapy for breast cancer patients with pendulous breasts. METHODS: Of 153 patients undergoing reduction mammoplasty at the University of Texas M. D. Anderson Cancer Center, 28 were identified as breast cancer patients with macromastia receiving breast conservation therapy. Median follow-up was 23.8 months. RESULTS: Median patient age was 55 years. Nearly all patients were described as obese. Median weight of the reduction mammoplasty specimen on the cancerous side was 766 g. One patient (4%) required completion mastectomy for inadequate margin control. Major postoperative complications occurred in 2 patients (7%). There were no major postradiation complications. Patient survey revealed a satisfaction rate of 86%. CONCLUSION: Bilateral reduction mammoplasty is a reasonable and safe option for breast cancer patients with macromastia who desire breast conservation therapy.


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