title: Bilateral breast reconstruction with bipedicle transverse rectus abdominis myocutaneous (TRAM) flap for simultaneous delayed and immediate breast reconstruction after therapeutic modified radical mastectomy and prophylactic nipple sparing mastectomy.
abstract: Contralateral prophylactic mastectomy (CPM) rate is increasing worldwide recently due to better understanding of genetic and hereditary breast cancer. The evolution of mastectomy technique from modified radical mastectomy to nipple sparing mastectomy with immediate or delayed breast reconstruction is also a potential cause of increasing mastectomy rate. This case report presents a young woman who had breast cancer at very young age then she decided for CPM due to her sister and mother are also breast cancer victim. We report clinical course and immediate outcome of the oncologic and reconstructive surgery in this case.
authors.affiliation: 1 Faculty of Medicine, King Chulalongkorn Memorial Hospital, Bangkok, Thailand ; 2 Division of Head-Neck and Breast Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
authors.forename: Ajaree
authors.initials: A
authors.lastname: Sattaratnamai
authors.affiliation: 1 Faculty of Medicine, King Chulalongkorn Memorial Hospital, Bangkok, Thailand ; 2 Division of Head-Neck and Breast Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
authors.forename: Visnu
authors.initials: V
authors.lastname: Lohsiriwat
keywords: Breast reconstruction; modified radical mastectomy; nipple sparing mastectomy; prophylactic mastectomy; transverse rectus abdominis myocutaneous flap (TRAM flap)
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