title: [Subcutaneous mastectomy with reduction mammaplasty--challenge for the surgeon and possible alternative for breast cancer patients].
abstract: BACKGROUND
  Breast Cancer surgery with breast removal is associated with critical decrease in women quality of life. Oncoplastic surgery offer different techniques for removal of the tumor and remodelating the breast to achieve acceptable end results--oncological and aesthetical ones.
  
  
  METHODS
  We present the clinical case of M.G. M -72 year old, St.IIIA--breast cancer patient, who refuses removal of the breast and any chemotherapy.
  
  
  RESULTS
  We perform subcutaneous mastectomy through inverted T - incision, including the areolo - mammilary complex in mastectomy specimen; L1, L2, L3 - lymphadenectomy through lateral skin flap. Skin - island flap was designed, based on superior flap for areolar replacement. Areolar reconstruction and reduction for symmetry were planed as a second step procedure because of the patient informed consent.
  
  
  CONCLUSIONS
  1. Subcutaneous mastectomy with reduction mammaplasty is an acceptable and possible operative way for breast cancer patient. 2. Preoperative planning is critical for best end results. 3. All precautions must by take for primary wound healing to achieve best time between operation and postoperative irradiation. 4. Further researches are needed to evaluate late aesthetic and oncologic results.
authors.forename: V
authors.initials: V
authors.lastname: Molov
authors.forename: P
authors.initials: P
authors.lastname: Tepavicharova
authors.forename: F
authors.initials: F
authors.lastname: Mitov
authors.forename: G
authors.initials: G
authors.lastname: Deenichin
authors.forename: R
authors.initials: R
authors.lastname: Kŭnchev
authors.forename: Ch
authors.initials: Ch
authors.lastname: Stefanov
authors.forename: P
authors.initials: P
authors.lastname: Mandev
mesh_terms: D000368:Aged; D001943:Breast Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D015414:Mastectomy, Subcutaneous / Q000379:methods*; D016896:Treatment Outcome