title: Combination of two local flaps for large defects after breast conserving surgery.
abstract: OBJECTIVE
  Oncoplastic surgery is a technique for wide excision of breast cancer without compromising the natural shape of the breast. We have combined two local flaps, referred to as a 'combined local flap', for large defects of the breast after a partial mastectomy.
  
  
  METHODS
  Twenty-one patients with breast cancer underwent a partial mastectomy with immediate reconstruction when the surgical margin was positive and further excision was required or the tumor size was larger than the pre-operative evaluation. Reconstruction was consisted of a rotational local flap and a thoraco-epigastric flap (TEF), so-called a combined local flap. The cosmetic results were self-estimated after chemotherapy and radiotherapy according to a four-point scoring system.
  
  
  RESULTS
  The mean age of patients was 53.3 years and the mean tumor size was 2.2 cm. The mean excised breast volume was 133.8 mm(3) and the percentage of excised volume was 20.4%. The cosmetic outcomes were judged as excellent, good, and fair in 11, 8, and 2 cases, respectively.
  
  
  CONCLUSIONS
  The combined local flap, consisting of a rotational local flap and a TEF is a useful oncoplastic technique for large defects after breast-conserving surgery.
authors: Department of Surgery, Medical Research Institute, Pusan National University, Busan, Republic of Korea.
authors: Jeeyeon
authors: J
authors: Lee
authors: Youngtae
authors: Y
authors: Bae
authors: Werner
authors: W
authors: Audretsch
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D015412:Mastectomy, Segmental / Q000379:methods*; D008875:Middle Aged; D013524:Surgical Flaps; D016896:Treatment Outcome