title: [Modified subcutaneous mastectomy. Apropos of 916 cases].
abstract: Modified subcutaneous mastectomy was described by one of us in 1968; its approach, the dissection of the gland, plastic reconstruction of shape and volume are completely different from the subcutaneous mastectomy performed by plastic surgeons. 3 different time periods were studied to explain clearly evolution in the technic and indications. During many years retrospective studies made it possible to build a procedure according to the new diagnostic means for infraclinical breast cancer and to the constant improving prosthetic material. Therefore our indications for modified subcutaneous mastectomy are as following: suspicious mastopathies are the best indications with a performing choice of the radiologic images which require histologic control some evolutive or evoluated mastopathies some small infiltrating tumors developing in a highly dystrophic glandular surrounding. The numerous in situ cancers accompanying them argue for this choice. some big phyllod tumors or phyllod's recurrences.
authors.affiliation: Hôpital Boucicaut, Paris.
authors.forename: J
authors.initials: J
authors.lastname: Reynier
authors.forename: S
authors.initials: S
authors.lastname: Arkwright
authors.forename: J M
authors.initials: JM
authors.lastname: Chevalier
authors.forename: J
authors.initials: J
authors.lastname: Lalo
authors.forename: A
authors.initials: A
authors.lastname: Gonter
authors.forename: P A
authors.initials: PA
authors.lastname: Goumot
authors.forename: N
authors.initials: N
authors.lastname: Renody
authors.forename: F
authors.initials: F
authors.lastname: Vilde
authors.forename: R
authors.initials: R
authors.lastname: Villet
mesh_terms: D018427:Breast Implants; D001943:Breast Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D015414:Mastectomy, Subcutaneous / Q000009:adverse effects / Q000379:methods / Q000639:trends*; D009362:Neoplasm Metastasis; D009364:Neoplasm Recurrence, Local; D016896:Treatment Outcome
vernacular_title: Les mammectomies sous-cutanées modifiées. A propos de 916 observations.