breast surgery with application of doughnut mastopexy lumpectomy technique乳房手术应用的甜甜圈乳房固定术乳房肿瘤切除术技术.pdfVIP

Modern Plastic Surgery, 2012, 2, 91-96 91 /10.4236/mps.2012.24022 Published Online October 2012 (http://www.SciRP.org/journal/mps) Breast Surgery with Application of Doughnut Mastopexy Lumpectomy Technique Kyoichi Matsuzaki1,2 1Department of Plastic and Reconstructive Surgery, Kawasaki Municipal Tama Hospital, Kawasaki, Japan; 2Department of Plastic and Reconstructive Surgery, St. Marianna University School of Medicine, Kawasaki, Japan. Email: k4matsu@marianna-u.ac.jp Received June 5th, 2012; revised July 6th, 2012; accepted August 3rd, 2012 ABSTRACT Purpose: Doughnut mastopexy lumpectomy (DML) is a breast resection technique in which a tissue segment is re- moved and the breast reshaped through a doughnut-shaped de-epithelialized periareolar area. In this study, we at- tempted to determine whether the DML technique could be useful for other types of breast surgery, in addition to breast cancer lumpectomy. Methods: This study examined a total of 4 patients who underwent the DML technique and were followed up for at least 1 year postoperatively. One patient underwent phyllodes tumor resection, 1 patient underwent removal of a siliconoma, and 2 patients underwent breast reduction mammaplasty. Results: This method enabled en-bloc removal of a large tissue mass or large foreign body that could not be removed through a short periareolar inci- sion. The surgical method of this study enabled the extent of de-epithelialization to be changed according to the size and location of the mass to be excised; good cosmetic results were also obtained. In addition, the surgical method enabled the facile excision of tumors and foreign materials. Conclusions: The DML technique is a useful surgical method that is applicable to other breast surgeries, in addition to breast cancer s