Central Mound Technique in Oncoplastic Surgery: A Valuable Technique to Save Your Bacon

• Published in: Clinical breast cancer 2023-04, Vol.23 (3), p.e77-e84
• Main Authors: Stocco, Chiara, Cazzato, Vito, Renzi, Nadia, Manara, Mariastella, Ramella, Vittorio, Scomersi, Serena, Fezzi, Margherita, Bortul, Marina, Arnez, Zoran Marj, Papa, Giovanni
• Format: Article
• Language: English
• Subjects: Breast - pathology; Breast Neoplasms - pathology; Breast Neoplasms - surgery; Female; Humans; Mammaplasty - methods; Mastectomy, Segmental - methods; Pork Meat; Quality of Life; Retrospective Studies
• ISSN: 1526-8209; 1938-0666
• DOI: 10.1016/j.clbc.2023.01.004

Breast-conserving surgery (BCS) is a valid method for the reconstruction of partial breast defects, however, there is a great variety of final aesthetic outcomes depending on the location of the tumor in the breast and also on the initial breast volume and the degree of ptosis. Specifically, defects affecting the upper inner/central quadrant represent a reconstructive challenge with not always satisfactory final results. For this purpose, the authors investigated the use of the central mound technique in breast-conserving surgery. The aim of the study was to apply the central mound as an oncoplastic technique and assess the satisfaction rate of the patients. This was a retrospective study that involved 40 patients (80 breast) underwent breast conserving surgery and contextual bilateral breast remodeling with central mound technique. A pre- and postoperative Breast-Q questionnaire (breast conserving therapy module) was given to all the patients before the surgery, 3 months and 9 months after. The statistical analysis with chi-square test was performed. After 9 months the author found a major increase of all BREAST-Q parameters; the most valuable increments concerned the “Satisfaction with breast” and “Psychosocial well-being.” None of the patients experienced a decreased in the quality of life related to the surgical procedure. The authors believe that this technique has useful functional and aesthetic results particularly appreciated by patients with upper pole lesion who have a slightly or moderately breast ptosis and a small cup size. Breast-conserving surgery (BCS) is a valid method for the reconstruction of partial breast defects, however, there is a great variety of final aesthetic outcomes depending on the location of the tumor in the breast and also on the initial breast volume and the degree of ptosis. Specifically, defects affecting the upper inner/central quadrant represent a reconstructive challenge with not always satisfactory final results. For this purpose, the authors investigated the use of the central mound technique in BCS. This technique is widely applied for breast reduction, but it has never been used to achieve volume displacement after breast cancer excision. The aim of the study was to apply the central mound as an oncoplastic technique and assess the satisfaction rate of the patients with pre- and postoperative (3 months and 9 months) Breast-Q questionnaire (breast conserving therapy module). After 9 months the author found a major