title: Level 2 oncoplastic surgery for lower inner quadrant breast cancers: the LIQ-V mammoplasty.
abstract: BACKGROUND
  Oncoplastic surgical techniques offer an option of breast conserving surgery for larger tumors with the use of glandular reshaping to prevent postoperative deformity. A technique for the excision of lower inner quadrant tumors via a V incision is described, the lower-inner quadrant-V (LIQ-V) mammoplasty, and the results of a pilot study are reported.
  
  
  METHODS
  Retrospective collection of pre- and postoperative data was collected from patients undergoing a LIQ-V mammoplasty for a LIQ tumor.
  
  
  RESULTS
  Twenty-two patients were operated on between 2004 and 2011 at a mean age of 58 years. The mean follow-up was 55 months. The mean resection weight was 101 g for tumors ranging in size from 4 to 31 mm. The margins were clear in 95% of cases. There was one case of local recurrence and metastatic disease. The cosmetic outcome was judged as excellent in 68% of cases, and no patient required further ipsilateral or contralateral symmetrizing surgery.
  
  
  CONCLUSIONS
  The deformity often associated with tumors of the LIQ is adequately addressed by this new technique. It has a complication rate comparable to other mammoplasty series and a high rate of clear resection margins. Many oncoplastic surgery techniques are based on inverted T mammoplasty, but these are not suited for all tumor locations. The LIQ-V mammoplasty is an adaptation of the standard techniques that best suit the LIQ. It is oncologically safe and provides disease-free margins, and although the resection volumes are large, the cosmetic outcome is not compromised.
authors.affiliation: Paris Breast Center, Paris, France, krishna.clough@orange.fr.
authors.forename: Krishna B
authors.initials: KB
authors.lastname: Clough
authors.forename: Stephane
authors.initials: S
authors.lastname: Oden
authors.forename: Tarik
authors.initials: T
authors.lastname: Ihrai
authors.forename: Eleanore
authors.initials: E
authors.lastname: Massey
authors.forename: Claude
authors.initials: C
authors.lastname: Nos
authors.forename: Isabelle
authors.initials: I
authors.lastname: Sarfati
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000473:pathology / Q000601:surgery*; D018270:Carcinoma, Ductal, Breast / Q000473:pathology / Q000601:surgery*; D018275:Carcinoma, Lobular / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D008875:Middle Aged; D009367:Neoplasm Staging; D010865:Pilot Projects; D011379:Prognosis; D012189:Retrospective Studies