[Patients acceptance of immediate breast reconstruction after subcutaneous mastectomy in breast disease].
Most profound emotional impact for the women with breast carcinoma is experienced as loss of femininity as a result of surgical mutilation. From this point of view, the recommendation for reconstructive surgery provide the amelioration to patient's anxiety. Two hundred women with breast carcinoma including huge nonepithelial malignant and/or benign tumors who adopted the breast reconstruction were treated during a 13-year period in 1982-1994 at NCCH. The breast reconstruction was mainly created by latissmus dorsi musculocutaneous (LDMC) flap in one sitting (modified mastectomy plus simultaneous reconstruction). Thirty patients treated with subcutaneous mastectomy (conserving the nipple-areolar complex) among them, were followed by deepithelialized LDMC flap without implant as the procedure of choice in early carcinoma located in lateral half at a distance of at least 4-5 cm from the areola and in huge benign tumors. Although one patient was dissatisfied with ischemia of LDMC flap, this approach was safe, simple, and possible to produce the patient's satisfaction. There was a positive effect on life style and on sexual, social or work relationships.
Dept. of Surgical Oncology, Tokyo Medical College.
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H
Yamamoto
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T
Fukutomi
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T
Nanasawa
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H
Tsuda
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T
Hirota
D000293:Adolescent; D000328:Adult; D001943:Breast Neoplasms / Q000523:psychology / Q000601:surgery*; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D016462:Mammaplasty / Q000523:psychology*; D015411:Mastectomy, Modified Radical; D015414:Mastectomy, Subcutaneous; D008875:Middle Aged; D017060:Patient Satisfaction; D011788:Quality of Life