BACKGROUND: Latissimus dorsi (LD) miniflap volume replacement is used for immediate reconstruction after partial mastectomy. This prospectively collected series was analyzed to evaluate the accuracy of intraoperative frozen sections. METHODS: After partial mastectomy, "bed biopsies" were submitted for intraoperative frozen-section analysis. If disease free, volume replacement was undertaken; if involved, targeted re-excisions were taken. Demographic, pathological, and outcome data were recorded. The proportion of breast excised was calculated. Local recurrences were recorded. RESULTS: One hundred ten partial mastectomies with LD miniflap volume replacement were completed. The median proportion of breast excised was 28% (maximum 72%); median weight 207 g. Frozen sections were positive in 33% of patients with a sensitivity of 83% and accuracy of 96% when compared with paraffin sections. Local recurrence occurred in one case. The median follow-up was 41.4 months. CONCLUSIONS: LD miniflap volume replacement extends the role of breast-conserving surgery. Frozen-section analysis of bed biopsies facilitates a single-stage procedure.
BACKGROUND: Latissimus dorsi (LD) miniflap volume replacement is used for immediate reconstruction after partial mastectomy. This prospectively collected series was analyzed to evaluate the accuracy of intraoperative frozen sections. METHODS: After partial mastectomy, "bed biopsies" were submitted for intraoperative frozen-section analysis. If disease free, volume replacement was undertaken; if involved, targeted re-excisions were taken. Demographic, pathological, and outcome data were recorded. The proportion of breast excised was calculated. Local recurrences were recorded. RESULTS: One hundred ten partial mastectomies with LD miniflap volume replacement were completed. The median proportion of breast excised was 28% (maximum 72%); median weight 207 g. Frozen sections were positive in 33% of patients with a sensitivity of 83% and accuracy of 96% when compared with paraffin sections. Local recurrence occurred in one case. The median follow-up was 41.4 months. CONCLUSIONS: LD miniflap volume replacement extends the role of breast-conserving surgery. Frozen-section analysis of bed biopsies facilitates a single-stage procedure.
Authors: I G Papanikolaou; C Dimitrakakis; F Zagouri; S Marinopoulos; A Giannos; E Zografos; C G Zografos; D Kritikou; A Rodolakis; G C Zografos; D Loutradis Journal: Breast Cancer Date: 2019-04-06 Impact factor: 4.239
Authors: Russell J Bramhall; Jason Lee; Mae Concepcion; David Westbroek; Sarah Huf; Kabir Mohammed; Paul Thiruchelvam; Gerald P Gui Journal: Gland Surg Date: 2017-12
Authors: Daniel R Leff; Alex Bottle; Erik Mayer; Darren K Patten; Christopher Rao; Paul Aylin; Dimitri J Hadjiminas; Thanos Athanasiou; Ara Darzi; Gerald Gui Journal: Plast Reconstr Surg Glob Open Date: 2015-09-04