[Reduction mammoplasty in breast cancers of the lower quadrants].
OBJECTIVE
Evaluate bilateral reduction mammoplasty in the management of breast cancer in the lower quadrants.


METHODS
60 patients were operated on between 1992 and 2003 mean age: 53 years (34-75) by a double team, oncologic and plastic, during the same operative procedure for a cancer in the lower quadrants (T1-2, N0-1a, M0). Radiation therapy was delivered in every patient with a boost in 30% of them.


RESULTS
Mean cancer size was 17,5 mm (5-20 m) with 10 N + patients. Mean weight of the lumpectomy was 220 g (80-900!). There was one local recurrence at three years. Cosmetic result was good in 75 % of the patients. Radiation side effects: fibrosis, induration, telangiectasias and vicious cicatrisation on the contro-lateral breast were responsible of the middle quality results.


CONCLUSIONS
Bilateral reduction mammoplasty is a good technique for the management of cancers in the lower quadrants. A double team, with a good logistic organisation, gives a good oncoplastic result.
Achard
Elisabeth
E
Clinique du Trocadéro, 52 rue de la Tour, 75116 Paris.
Salmon
Rémy J
RJ
D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D008875:Middle Aged; D010348:Patient Care Team / Q000458:organization & administration