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Level 2 Oncoplastic Surgery for Lower Inner Quadrant Breast Cancers: The LIQ-V Mammoplasty

  • Breast Oncology
  • Published:
Annals of Surgical Oncology Aims and scope Submit manuscript

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.

Discussion

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.

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Disclosures

The authors declare no conflict of interest.

Author information

Authors and Affiliations

  1. Paris Breast Center, Paris, France

    Krishna B. Clough MD, Stephane Oden MD, Tarik Ihrai MD, Eleanore Massey MRCS, Claude Nos MD & Isabelle Sarfati MD

  2. Rouen University Hospital, Rouen, France

    Stephane Oden MD

  3. Antoine Lacassagne Center, Nice, France

    Tarik Ihrai MD

Authors
  1. Krishna B. Clough MD
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  2. Stephane Oden MD
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  3. Tarik Ihrai MD
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  4. Eleanore Massey MRCS
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  5. Claude Nos MD
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  6. Isabelle Sarfati MD
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Corresponding author

Correspondence to Krishna B. Clough MD.

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Clough, K.B., Oden, S., Ihrai, T. et al. Level 2 Oncoplastic Surgery for Lower Inner Quadrant Breast Cancers: The LIQ-V Mammoplasty. Ann Surg Oncol 20, 3847–3854 (2013). https://doi.org/10.1245/s10434-013-3085-4

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  • DOI: https://doi.org/10.1245/s10434-013-3085-4

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