Abstract
A 41-year-old female presented to the hospital with chest pain and on exam was found to have a 1.5-cm centrally located mass on the right breast. The patient underwent bilateral mammogram, which noted an increased asymmetric density at the medial right breast. The lesion was in the posterior region of the breast at approximately the 3-o’clock position. Biopsy revealed invasive ductal carcinoma, ER/PR positive and HER2/neu negative. The patient was subsequently referred to MD Anderson for further treatment. Repeat imaging demonstrated the presence of a 2.5-cm mass with spiculated margins at the upper inner quadrant of the right breast. The patient elected to undergo breast conservation therapy, and therefore right breast needle-localized segmental mastectomy, intraoperative lymphatic mapping, and right axillary sentinel lymph node dissection were planned. Secondary to the presence of symptomatic macromastia (bra size 36DD), decision was made to proceed with local tissue rearrangement in a breast reduction fashion, with the use of inferomedial pedicle. We also decided to proceed with local tissue rearrangement and breast reduction only on the right side, in order to perform symmetry procedure on the contralateral side, after the completion of adjuvant radiation and analysis of the overall postoperative and radiation result. Final pathology confirmed the presence of pT1c N0 M0 and stage I right breast invasive ductal carcinoma, as well as associated DCIS and negative margins. She received a total of 60-Gy adjuvant radiation and hormonal therapy with tamoxifen. Since her Oncotype DX test revealed her recurrence score to be very low, she did not receive adjuvant chemotherapy.
Keywords
- Invasive Ductal Carcinoma
- Recurrence Score
- Breast Reduction
- Reduction Mammoplasty
- Reconstructive Surgeon
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReference
Kronowitz SJ, Kuerer HM, Buchholz TA et al (2008) A management algorithm and practical oncoplastic surgical techniques for repairing partial mastectomy defects. Plast Reconstr Surg 122(6):1631–1647
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer-Verlag Vienna
About this chapter
Cite this chapter
Hassid, V.J., Kronowitz, S.J. (2015). Defect Reconstruction with Inferomedial Pedicle Technique. In: Fitzal, F., Schrenk, P. (eds) Oncoplastic Breast Surgery. Springer, Vienna. https://doi.org/10.1007/978-3-7091-1874-0_27
Download citation
DOI: https://doi.org/10.1007/978-3-7091-1874-0_27
Publisher Name: Springer, Vienna
Print ISBN: 978-3-7091-1873-3
Online ISBN: 978-3-7091-1874-0
eBook Packages: MedicineMedicine (R0)