title: Long-term results of breast conservation and immediate volume replacement with myocutaneous latissimus dorsi flap.
abstract: BACKGROUND
  Published long-term outcomes of oncoplastic breast-conserving surgery are scarce and, specifically, aesthetic outcomes assessed with an objective method have not previously been published.
  
  
  METHODS
  A cohort of 41 patients treated with a quadrantectomny and immediate reconstruction using a myocutaneous latissimus dorsi flap were analyzed and their aesthetic outcomes were evaluated objectively by BCCT.core software.
  
  
  RESULTS
  At the end of a 58-month follow-up from the date of initial diagnosis, one patient (2.4%) developed an ipsilateral recurrence, six patients developed distant metastases and three patients died (7.3%) without ipsilateral recurrence, one of them presenting hepatic metastases at the time of the initial diagnosis. We were able to evaluate aesthetic results in 23 patients, 3 assessed as excellent, 12 good and 8 fair.
  
  
  CONCLUSIONS
  This oncoplastic volume replacement technique obtained a good local control and satisfactory and stable aesthetic results which have maintained unchanged after a long period of time.
authors.affiliation: Breast Unit, Hospital, University of Cantabria, Marqués de Valdecilla (Avda Valdecilla s/n), Santander, (39008), Cantabria, Spain. cgdhff@humv.es
authors.forename: Fernando
authors.initials: F
authors.lastname: Hernanz
authors.forename: Sonia
authors.initials: S
authors.lastname: Sánchez
authors.forename: María Pérez
authors.initials: MP
authors.lastname: Cerdeira
authors.forename: Carlos Redondo
authors.initials: CR
authors.lastname: Figuero
mesh_terms: D000328:Adult; D001940:Breast / Q000473:pathology / Q000502:physiology / Q000601:surgery; D001943:Breast Neoplasms / Q000473:pathology / Q000601:surgery*; D015331:Cohort Studies; D016001:Confidence Intervals; D005260:Female; D006801:Humans; D015412:Mastectomy, Segmental / Q000295:instrumentation / Q000379:methods*; D008875:Middle Aged; D011379:Prognosis; D011446:Prospective Studies; D019651:Plastic Surgery Procedures / Q000295:instrumentation / Q000379:methods*; D012984:Software; D013524:Surgical Flaps; D013997:Time Factors; D016896:Treatment Outcome