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KMID : 1134120130160020236
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Journal of Breast Cancer
2013 Volume.16 No. 2 p.236 ~ p.243
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Abdominal Advancement Flap as Oncoplastic Breast Conservation: Report of Seven Cases and Their Cosmetic Results
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Ogawa Tomoko
Hanamura Noriko
Yamashita Masako
Ito Minori
Kimura Hiroko
Nakamura Takashi
Kashikura Yumi
Nohara Yuki
Noro Aya
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Abstract
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An abdominal advancement flap (AAF) is a flap that pulls the elevated abdominal skin up and creates the shape of the inferior portion of the breast by making a neo-inframammary fold. Seven patients underwent remodeling using an AAF or a method combining an AAF with other volume displacement techniques after partial mastectomy. The excision volume ranged from 15% to 35%. AAF with only mobilization of the gland flaps was performed in two cases, with lateral mammoplasty in one case, with the round block technique (RBT) in one case, with a modified RBT in one case, and with medial mammoplasty in two cases. Although one patient treated with a RBT had a partial blood-flow insufficiency of the nipple-areola complex, it improved with conservative treatment. The cosmetic results were found to be excellent in three cases, good in three, and fair in one case.
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KEYWORD
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Mammaplasty, Operative surgical procedures, Segmental mastectomy
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