| 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. |
| Authors | L A Newman, H M Kuerer, M D McNeese, K K Hunt, G C Gurtner, G S Vlastos, G Robb, S E Singletary
(Affiliation: Department of Surgical Oncology, University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030, USA.)
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| Journal | American journal of surgery
(Am J Surg)
Vol. 181
Issue 3
Pg. 215-20
(Mar 2001)
ISSN: 0002-9610 United States |
| PMID | 11376574
(Publication Type: Journal Article)
|
| Topics |
- Adult
- Aged
- Breast Neoplasms
(complications, radiotherapy, surgery)
- Combined Modality Therapy
- Female
- Humans
- Mammaplasty
- Middle Aged
- Obesity
(complications)
- Patient Satisfaction
- Risk Factors
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