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Cirugía paraguaya

versión On-line ISSN 2307-0420


GALLI, Marcelo et al. Plastia en "J": opción reparadora en cáncer de mamas: Breast cancer: Repair option by "J" thecnique.. Rev. Cir. Parag. [online]. 2014, vol.38, n.1, pp.12-17. ISSN 2307-0420.

ABSTRACT Surgical treatment is one of the pillars in the management of breast cancer. The indications for breast conserving surgery have grown with the advances in oncoplastic techniques, which allow the resection of greater volumes while maintaining or improving esthetic results. We present a description of and our experience with the J plasty, a versatile and reproducible technique for partial breast reconstructions, applicable for tumors in all quadrants. Twenty nine patients underwent breast conserving surgery (27 quadrantectomies, 2 lumpectomies), followed by repair with a J plasty. Esthetic results were good in 19 of the 29 cases, good in 7 and poor in 4. In 3 cases a resulting asymmetry was corrected either with a contralateral symmetrization or silicone implant augmentation. With a follow- up of over 63 months, overall survival was 91%. There were no positive margins, local or contralateral recurrences. All patients reported being satisfied with their esthetic and functional outcomes. The J plasty is a very practical technique and should be considered by all those performing surgery for this disease.

Palabras clave : Breast cancer; Conservative surgery; Oncoplastic.

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