Circum-areolar mastectomy with immediate reconstruction (CAMIR)

Aims: To develop an oncologically safe and aesthetically acceptable technique for mastectomy using a myocutaneous flap and tissue expander for patients with neoplastic involvement of the nipple. Methods: Fourteen consecutive patients (mean age 40 years) underwent a circum-areolar mastectomy with imm...

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Veröffentlicht in:European journal of surgical oncology 2000-08, Vol.26 (5), p.461-463
Hauptverfasser: Sufi, PA, Gittos, M, Collier, D St.J.
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container_title European journal of surgical oncology
container_volume 26
creator Sufi, PA
Gittos, M
Collier, D St.J.
description Aims: To develop an oncologically safe and aesthetically acceptable technique for mastectomy using a myocutaneous flap and tissue expander for patients with neoplastic involvement of the nipple. Methods: Fourteen consecutive patients (mean age 40 years) underwent a circum-areolar mastectomy with immediate reconstruction using a latissimus dorsi myocutaneous flap and tissue expander. Assessment of cosmesis was by review of pre- and post-operative photographs by an independent observer. Results: During a mean follow-up of 11.4 months there have been no local recurrences. There were two deaths: pulmonary embolus (one) and distant metastatic disease (one). Assessment of cosmesis gave a score of 47 out of 56 (84%). Conclusions: In patients with tumours involving the nipple, mastectomy with immediate reconstruction may be used to achieve a good cosmetic result. The replacement nipple is fashioned from a circle of skin attached to the latissimus dorsi myocutaneous harvest.
doi_str_mv 10.1053/ejso.2000.0922
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Methods: Fourteen consecutive patients (mean age 40 years) underwent a circum-areolar mastectomy with immediate reconstruction using a latissimus dorsi myocutaneous flap and tissue expander. Assessment of cosmesis was by review of pre- and post-operative photographs by an independent observer. Results: During a mean follow-up of 11.4 months there have been no local recurrences. There were two deaths: pulmonary embolus (one) and distant metastatic disease (one). Assessment of cosmesis gave a score of 47 out of 56 (84%). Conclusions: In patients with tumours involving the nipple, mastectomy with immediate reconstruction may be used to achieve a good cosmetic result. 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Methods: Fourteen consecutive patients (mean age 40 years) underwent a circum-areolar mastectomy with immediate reconstruction using a latissimus dorsi myocutaneous flap and tissue expander. Assessment of cosmesis was by review of pre- and post-operative photographs by an independent observer. Results: During a mean follow-up of 11.4 months there have been no local recurrences. There were two deaths: pulmonary embolus (one) and distant metastatic disease (one). Assessment of cosmesis gave a score of 47 out of 56 (84%). Conclusions: In patients with tumours involving the nipple, mastectomy with immediate reconstruction may be used to achieve a good cosmetic result. 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subjects Adult
Biological and medical sciences
breast
Breast Neoplasms - pathology
Breast Neoplasms - surgery
Carcinoma - pathology
Carcinoma - surgery
Female
Gynecology. Andrology. Obstetrics
Humans
Mammaplasty - methods
Mammary gland diseases
mastectomy
Mastectomy - methods
Medical sciences
Middle Aged
Neoplasm Staging
Nipples - surgery
reconstruction
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the genital tract and mammary gland
Time Factors
Treatment Outcome
Tumors
title Circum-areolar mastectomy with immediate reconstruction (CAMIR)
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