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Immediate breast reconstruction with prostheses after conservative treatment plus intraoperative radiotherapy. long term esthetic and oncological outcomes.
Electron intraoperative radiotherapy (ELIOT) has been introduced for breast conservative treatment (BCT) with promising oncological outcome. Thus, immediate breast reconstruction with prosthesis after BCT became possible due to minimal radi…
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The value of latissimus dorsi flap with implant reconstruction for total mastectomy after conservative breast cancer surgery recurrence.
Total mastectomy is usually indicated after breast conservative treatment cancer recurrence. Breast reconstruction in this group can be performed with many options. We did 63 latissimus dorsi flap with implants reconstructions between 2001-…
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Immediate breast reconstruction in the elderly: can it be considered an integral step of breast cancer treatment? The experience of the European Institute of Oncology, Milan.
[BACKGROUND] In the last few decades, breast reconstruction often has not been offered to the elderly population due to the reluctance of clinicians concerned about serious co-morbidities. This study aims to demonstrate that breast reconstr…
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Impact of medical discipline and observer gender on cosmetic outcome evaluation in breast reconstruction using transverse rectus abdominis myocutaneous (TRAM) flap and radiotherapy.
[BACKGROUND] Despite the complication rate, the majority of studies report a satisfactory cosmetic outcome in patients undergoing transverse rectus abdominis myocutaneous (TRAM) flap breast reconstruction both before and after radiotherapy …
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Breast conservative treatment in association with implant augmentation and intraoperative radiotherapy.
After conservative treatment for small breast cancer the use of breast implants is controversial due to the negative effects of external conventional radiotherapy on soft tissues and the risk of capsular contracture. The literature reports …
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One hundred and eleven cases of breast conservation treatment with simultaneous reconstruction at the European Institute of Oncology (Milan).
[AIMS AND BACKGROUND] Breast conserving treatment (BCT) should provide similar quality of local control as mastectomy and avoid psychological distress due to mutilation. Randomized trials have demonstrated the value of conservative surgery …
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Integration of plastic surgery in the course of breast-conserving surgery for cancer to improve cosmetic results and radicality of tumor excision.
Integration of plastic surgery is currently widely practiced in cases of mastectomy. Immediate breast reconstruction with an implant or autologous tissue procedures is frequently proposed to the patient before the mastectomy. However, breas…
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[Cutaneous suspension: immediate breast reconstruction with abdominal cutaneous advancement using a non-resorptive mesh. Preliminary results and report of 28 cases].
The immediate breast reconstruction with a definitive prosthesis (IBRDP) is the most useful technique in our experience. We proposed a technique to allow the use of IBRDP also in cases of mastectomy with large skin excision and also to perm…
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[Mammoplasty for symmetry of the contralateral breast and its oncologic value].
Controlateral occult carcinomas are observed in 3 to 5% of the reduction mammaplasty of the controlateral breast at the time of the breast reconstruction. The symmetry procedure allows a good check up of the glandular tissue of the controla…
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[Role of plastic surgery in the conservative treatment of breast cancer].
Conservative surgery (CS) is widely accepted today as the treatment of choice for 60 to 80% of the primary breast cancer. Esthetic results of CS are not good in all the cases and improvement can be obtained thanks to the remodelling of the …
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Contralateral mastoplasty for breast reconstruction: a good opportunity for glandular exploration and occult carcinomas diagnosis.
[BACKGROUND] Exploration of the contralateral breast in case of breast cancer has been advocated by many investigators, based on the incidence of contralateral cancer expected to be around 10-15%. [METHOD] From 1978 to 1993, 813 contralate…
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[Role of plastic surgery in the treatment of breast cancer].
The surgical treatment of breast cancer has changed dramatically since the last twenty years. Radical and super-radical mastectomy are almost no longer indicated except in certain cases of local recurrences. Breast saving procedures are the…
- [Redaction of medical articles].
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[Role of immediate reduction mammaplasty and mammapexy in the conservative treatment of breast cancers].
For some years, breast cancer surgery has become increasingly conservative, in order to preserve the aesthetic aspect of the treated breast and global harmony of the bosom. Unfortunately, conservative treatment is followed by 20% to 30% of …
- Breast augmentation and the risk of subsequent breast cancer.
- [May a general surgeon still operate breast cancer without the help of a plastic surgeon?].
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[Poor esthetic results after conservative treatment of breast cancer. Technics of partial breast reconstruction].
A wide consensus exists today in favour of breast saving procedures for the surgical treatment of small breast cancers. The goal of conservative treatment is to preserve the shape of the breast and consequently to avoid the psychological co…
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[Immediate breast reconstruction: indications and technics. Apropos of 120 cases treated at the Institut Gustave-Roussy].
From 1976 to 1986 one hundred and twenty immediate breast reconstructions (IBR) were performed at the Gustave-Roussy Institut. 90% of these cases were treated for in situ or infiltrating carcinomas, while only 10% had prophylactic mastectom…
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[Long-term results following breast reconstruction].
A ten-year experience of breast reconstruction (BR) at the Gustave-Roussy Institute (Paris) provides material for a long-term analysis of carcinologic and cosmetic results. Carcinologic results have been studied in a group of 120 breast rec…
- [Critical evaluation of breast reconstruction by the technic using a rectus abdominis musculocutaneous flap. Apropos of 60 cases].
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[Conservative treatment in cancer of the breast].
Conservative treatment combining breast saving surgical procedures and radiotherapy, is considered as the best treatment for small breast cancers. The purpose of the study is to define the most appropriate surgical technique in order to rea…
- [200 total breast reconstructions performed at the Institut Gustave-Roussy since 1976 (excluding subcutaneous mastectomies)].
- [Breast reconstruction without prosthesis by an abdominal musculocutaneous flap connected to the rectus abdominis].
- [Technics of plastic surgery of the breast in breast cancerology].