An Innovative Minimally Invasive Oncoplastic Technique for Early Breast Cancer: The Spoon-Shape Technique.
Zhilin ChenXuefeng ShiWenjie ShiZihao ChenJiajia ZengJie DongRui ZhuoRudy Leon De WildePublished in: Journal of clinical medicine (2022)
Here, we describe a step-by-step novel level I oncoplastic technique and present the aesthetic results of 58 breast cancer patients who underwent the spoon-shape technique for primary tumor resection. The Paris Breast Center's 5-point scale was used to evaluate the aesthetic outcomes. The median age of the participants was 52 years old. The average size of the resected tumor was 22.1 mm; two intraoperative re-excisions were required due to positive margins. Postoperative localized seroma was observed in four patients, and one patient presented signs of wound infection. Skin flap necrosis and fat liquefaction were not observed. The average aesthetic score was 4.86. None of the patients presented cancer recurrence in the following two years. The spoon-shape technique showed good aesthetic results because it provided the surgeons an adequate amount of surrounding tissue from which to reshape the breast after tumor removal. We encourage surgeons to apply this approach in early-stage breast cancer, regardless of the quadrant where the tumor is located.
Keyphrases
- end stage renal disease
- early stage
- ejection fraction
- minimally invasive
- newly diagnosed
- chronic kidney disease
- prognostic factors
- peritoneal dialysis
- breast reconstruction
- type diabetes
- patients undergoing
- early breast cancer
- soft tissue
- squamous cell carcinoma
- lymph node
- quality improvement
- young adults
- case report
- risk assessment
- papillary thyroid
- neoadjuvant chemotherapy
- free survival
- heavy metals
- abdominal pain