Skip to main content
SpringerLink
Log in

Glandular Displacement Techniques

  • Chapter
  • First Online:
Oncoplastic and Reconstructive Breast Surgery

  • 1434 Accesses

Abstract

Oncoplastic techniques have been developed in recent years for the surgical management of breast cancer, allowing the resection of large volumes of breast tissue, while facilitating cosmesis and the avoidance of mastectomy. These techniques can be classified into two categories: simple and advanced. Simple oncoplastic techniques are generally used in the management of tumors, which require resection of < 25% of the total breast volume. These techniques involve primary closure of the breast defect using glandular displacement. This chapter will discuss the surgical anatomy of the breast and the various types of glandular displacement techniques.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Crown A, Wechter DG, Grumley JW (2015) Oncoplastic breast-conserving surgery reduces mastectomy and postoperative re-excision rates. Ann Surg Oncol 22(10):3363–3368

    Article  Google Scholar 

  2. Piper ML, Esserman LJ, Sbitany H, Peled AW (2016) Outcomes following oncoplastic reduction mammoplasty: a systematic review. Ann Plast Surg 76(Suppl 3):S222–S226

    Article  CAS  Google Scholar 

  3. Rietjens M, Urban CA, Rey PC, Mazzarol G, Maisonneuve P, Garusi C, Intra M, Yamaguchi S, Kaur N, De Lorenzi F, Matthes AG, Zurrida S, Petit JY (2007) Long-term oncological results of breast conservative treatment with oncoplastic surgery. Breast 16(4):387–395

    Article  CAS  Google Scholar 

  4. Clough KB, Lewis JS, Couturaud B, Fitoussi A, Nos C, Falcou MC (2003) Oncoplastic techniques allow extensive resections for breast-conserving therapy of breast carcinomas. Ann Surg 237(1):26–34

    Article  Google Scholar 

  5. Staub G, Fitoussi A, Falcou MC, Salmon RJ (2008) [Breast cancer surgery: use of mammaplasty. Results. Series of 298 cases] (Resultats carcinologiques et esthetiques du traitement du cancer du sein par plastie mammaire. 298 cas. DEP - 20071018). Ann Chir Plast Esthet 53(2):124–134

    Google Scholar 

  6. Clough KB, Kaufman GJ, Nos C, Buccimazza I, Sarfati IM (2010) Improving breast cancer surgery: a classification and quadrant per quadrant atlas for oncoplastic surgery. Ann Surg Oncol 17(5):1375–1391

    Article  Google Scholar 

  7. Brinkman RJ, Hage JJ (2016) Andreas Vesalius’ 500th anniversary: first description of the mammary suspensory ligaments. World J Surg 40(9):2144–2148

    Article  Google Scholar 

  8. Wuringer E, Mader N, Posch E, Holle J (1998) Nerve and vessel supplying ligamentous suspension of the mammary gland. Plast Reconstr Surg 101(6):1486–1493

    Article  CAS  Google Scholar 

  9. van Deventer PV (2004) The blood supply to the nipple-areola complex of the human mammary gland. Aesthet Plast Surg 28(6):393–398

    Article  Google Scholar 

  10. Avsar DK, Aygit AC, Benlier E, Top H, Taskinalp O (2010) Anthropometric breast measurement: a study of 385 Turkish female students. Aesthet Surg J 30(1):44–50

    Article  Google Scholar 

  11. Okamoto S, Yamada T, Kanemaki Y, Kojima Y, Tsugawa K, Nakajima Y (2016) Magnetic resonance examination to predict pathological complete response following neoadjuvant chemotherapy: when is it appropriate for HER2-positive and triple-negative breast cancers? Breast Cancer 23(5):789–796

    Article  Google Scholar 

  12. Parvaiz MA, Yang P, Razia E, Mascarenhas M, Deacon C, Matey P, Isgar B, Sircar T (2016) Breast MRI in invasive lobular carcinoma: a useful investigation in surgical planning? Breast J 22(2):143–150

    Article  Google Scholar 

  13. Sung JS, King V, Thornton CM, Brooks JD, Fry CW, El-Tamer M, Dauer LT, Brogi E, St Germain JM, Morris EA (2013) Safety and efficacy of radioactive seed localization with I-125 prior to lumpectomy and/or excisional biopsy. Eur J Radiol 82(9):1453–1457

    Article  Google Scholar 

  14. Bloomquist EV, Ajkay N, Patil S, Collett AE, Frazier TG, Barrio AV (2016) A randomized prospective comparison of patient-assessed satisfaction and clinical outcomes with radioactive seed localization versus wire localization. Breast J 22(2):151–157

    Article  Google Scholar 

  15. Diego EJ, Soran A, McGuire KP, Costellic C, Johnson RR, Bonaventura M, Ahrendt GM, McAuliffe PF (2014) Localizing high-risk lesions for excisional breast biopsy: a comparison between radioactive seed localization and wire localization. Ann Surg Oncol 21(10):3268–3272

    Article  Google Scholar 

  16. Lovrics PJ, Goldsmith CH, Hodgson N, McCready D, Gohla G, Boylan C, Cornacchi S, Reedijk M (2011) A multicentered, randomized, controlled trial comparing radioguided seed localization to standard wire localization for nonpalpable, invasive and in situ breast carcinomas. Ann Surg Oncol 18(12):3407–3414

    Article  Google Scholar 

  17. Morrow M, Van Zee KJ, Solin LJ, Houssami N, Chavez-MacGregor M, Harris JR, Horton J, Hwang S, Johnson PL, Marinovich ML, Schnitt SJ, Wapnir I, Moran MS (2016) Society of Surgical Oncology—American Society for Radiation Oncology—American Society of Clinical Oncology consensus guideline on margins for breast-conserving surgery with whole-breast irradiation in ductal carcinoma in situ. Pract Radiat Oncol 6(5):287–295

    Article  Google Scholar 

  18. Schnitt SJ, Moran MS, Houssami N, Morrow M (2015) The Society of Surgical Oncology—American Society for Radiation Oncology consensus guideline on margins for breast-conserving surgery with whole-breast irradiation in stages I and II invasive breast cancer: perspectives for pathologists. Arch Pathol Lab Med 139(5):575–577

    Article  Google Scholar 

  19. Rosenberger LH, Mamtani A, Fuzesi S, Stempel M, Eaton A, Morrow M, Gemignani ML (2016) Early adoption of the SSO-ASTRO Consensus Guidelines on margins for breast-conserving surgery with whole-breast irradiation in stage I and II invasive breast cancer: initial experience from Memorial Sloan Kettering Cancer Center. Ann Surg Oncol 23(10):3239–3246

    Article  Google Scholar 

  20. Schulman AM, Mirrielees JA, Leverson G, Landercasper J, Greenberg C, Wilke LG (2017) Reexcision surgery for breast cancer: an analysis of the American Society of Breast Surgeons (ASBrS) MasterySM database following the SSO-ASTRO “no ink on tumor” guidelines. Ann Surg Oncol 24(1):52–58

    Article  Google Scholar 

  21. Wilhelmi BJ, Blackwell SJ, Phillips LG (1999) Langer’s lines: to use or not to use. Plast Reconstr Surg 104(1):208–214

    Article  CAS  Google Scholar 

  22. Noh WC, Paik NS, Kim MS, Yang KM, Cho CK, Choi DW, Lee JI, Kang SK, Kim SB, Moon NM (2005) Ipsilateral breast tumor recurrence after breast-conserving therapy: a comparison of quadrantectomy versus lumpectomy at a single institution. World J Surg 29(8):1001–1006

    Article  Google Scholar 

  23. Veronesi U, Saccozzi R, Del Vecchio M, Banfi A, Clemente C, De Lena M, Gallus G, Greco M, Luini A, Marubini E, Muscolino G, Rilke F, Salvadori B, Zecchini A, Zucali R (1981) Comparing radical mastectomy with quadrantectomy, axillary dissection, and radiotherapy in patients with small cancers of the breast. N Engl J Med 305(1):6–11

    Article  CAS  Google Scholar 

  24. Moran MS, Schnitt SJ, Giuliano AE, Harris JR, Khan SA, Horton J, Klimberg S, Chavez-Mac Gregor M, Freedman G, Houssami N, Johnson PL, Morrow M (2014a) Society of Surgical Oncology—American Society for Radiation Oncology consensus guideline on margins for breast-conserving surgery with whole-breast irradiation in stages I and II invasive breast cancer. J Clin Oncol 32(14):1507–1515

    Article  Google Scholar 

  25. Moran MS, Schnitt SJ, Giuliano AE, Harris JR, Khan SA, Horton J, Klimberg S, Chavez-MacGregor M, Freedman G, Houssami N, Johnson PL, Morrow M (2014b) Society of Surgical Oncology—American Society for Radiation Oncology consensus guideline on margins for breast-conserving surgery with whole-breast irradiation in stages I and II invasive breast cancer. Ann Surg Oncol 21(3):704–716

    Article  Google Scholar 

  26. Chagpar AB, Killelea BK, Tsangaris TN, Butler M, Stavris K, Li F, Yao X, Bossuyt V, Harigopal M, Lannin DR, Pusztai L, Horowitz NR (2015) A randomized, controlled trial of cavity shave margins in breast cancer. N Engl J Med 373(6):503–510

    Article  CAS  Google Scholar 

  27. Jones V, Linebarger J, Perez S, Gabram S, Okoli J, Bumpers H, Burns B, Mosunjac M, Rizzo M (2016) Excising additional margins at initial breast-conserving surgery (BCS) reduces the need for re-excision in a predominantly African American population: a report of a randomized prospective study in a public hospital. Ann Surg Oncol 23(2):456–464

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Breast Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, USA

    Siun M. Walsh & Mahmoud El-Tamer

Authors
  1. Siun M. Walsh
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mahmoud El-Tamer
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Mahmoud El-Tamer .

Editor information

Editors and Affiliations

  1. Our Lady of Grace Hospital, Positivo University, Curitiba, Brazil

    Cicero Urban

  2. Plastic and Reconstructive Division, European Institute of Oncology, Milan, Italy

    Mario Rietjens

  3. Memorial Sloan Kettering Cancer Center, New York, USA

    Mahmoud El-Tamer

  4. Memorial Sloan Kettering Cancer Center, New York, USA

    Virgilio S. Sacchini

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Walsh, S.M., El-Tamer, M. (2019). Glandular Displacement Techniques. In: Urban, C., Rietjens, M., El-Tamer, M., Sacchini, V.S. (eds) Oncoplastic and Reconstructive Breast Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-62927-8_24

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-62927-8_24

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-62925-4

  • Online ISBN: 978-3-319-62927-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation