SKIN SPARING MASTECTOMY IN LARGE TUMOR BREAST CANCER
Balbaa, A., El Kafraway, H., El Sisy, A., EL Foll, H., El Kased, A., El-Shakhs, S., Abdel Ghaney, A. (2008). SKIN SPARING MASTECTOMY IN LARGE TUMOR BREAST CANCER. EKB Journal Management System, 27(4), 166-171. doi: 10.21608/ejsur.2008.369661
Ashraf Balbaa; Hossam El Kafraway; Alla El Sisy; Hossam EL Foll; Ahmed El Kased; Soliman El-Shakhs; Ashraf Abdel Ghaney. "SKIN SPARING MASTECTOMY IN LARGE TUMOR BREAST CANCER". EKB Journal Management System, 27, 4, 2008, 166-171. doi: 10.21608/ejsur.2008.369661
Balbaa, A., El Kafraway, H., El Sisy, A., EL Foll, H., El Kased, A., El-Shakhs, S., Abdel Ghaney, A. (2008). 'SKIN SPARING MASTECTOMY IN LARGE TUMOR BREAST CANCER', EKB Journal Management System, 27(4), pp. 166-171. doi: 10.21608/ejsur.2008.369661
Balbaa, A., El Kafraway, H., El Sisy, A., EL Foll, H., El Kased, A., El-Shakhs, S., Abdel Ghaney, A. SKIN SPARING MASTECTOMY IN LARGE TUMOR BREAST CANCER. EKB Journal Management System, 2008; 27(4): 166-171. doi: 10.21608/ejsur.2008.369661

SKIN SPARING MASTECTOMY IN LARGE TUMOR BREAST CANCER

The Egyptian Journal of Surgery
Volume 27, Issue 4, October 2008, Pages 166-171    PDF (224.71 K)
Document Type: Original Article
DOI: 10.21608/ejsur.2008.369661
Authors
Ashraf Balbaa* 1; Hossam El Kafraway2; Alla El Sisy1; Hossam EL Foll1; Ahmed El Kased1; Soliman El-Shakhs1; Ashraf Abdel Ghaney3
1Surgical Oncology Unit, Department of Surgery, Faculty of Medicine, Menoufia University
2Plastic Surgery Unit, Department of Surgery, Faculty of Medicine, Alexandria University
3Depatment of Medical Oncology, Faculty of Medicine, Menoufia University, Egypt
Abstract
Aim: Skin sparing mastectomy (SSM) with immediate reconstruction has been approved to be safe treatment approach for early-stage (T1 or T2) breast carcinoma. This prospective study was undertaken to assess both the feasibility and oncological safety of SSM in patients with large tumor breast cancer. 
Methods: Twenty patients with large T2 and T3 breast cancer were included. All patients were subjected to (SSM) with 
immediate reconstruction with either Transverse Rectus Abdominis Myocutaneous (TRAM) flap or Latissimus Dorsi (LD) 
myocutaneous flap with an implant. The patients were followed up for a period ranged from 12-22 months with a mean of 14.55±2.96 months. 
Results: The mean tumor size was 5±0.73 cm (range 4-6cm). Postoperatively, 3 cases (15%) developed necrosis of a part of their native skin flaps, one case (5%) had partial TRAM flap necrosis, and 5 cases developed seroma. All cases received 
postoperative chemotherapy that was initiated in a mean of 21.5±7.87 days, then radiotherapy after chemotherapy 
completion. Throughout the follow up period, none of the patients developed local recurrence while only one case (5%) 
developed distant bony metastases. 
Conclusion: SSM is feasible and oncologically safe in large tumor breast cancer; however, longer period of follow up is 
required.
Keywords
Breast reconstruction; TRAM flap; LD flap
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