Determination of the accuracy of juxtacapsular dissection of the breast. What is left behind?

Show simple item record Karusseit, V.O.L. (Otto) Oberholzer, Hester Magdalena Irsigler, N.G. Olorunju, Steve A.S. 2014-07-11T09:36:21Z 2014-07-11T09:36:21Z 2014
dc.description.abstract BACKGROUND : Resectional breast surgery has become less extensive. Dissection on plane of the superficial fascia covering the breast (juxtacapsular) is used during various procedures for retention of the appearance of the breast. The accuracy of this method and its ability to remove all glandular breast tissue has never been tested. METHODS : Twenty patients with breast cancer were studied prospectively. Juxtacapsular dissection of the inferior flap was performed during mastectomy. Biopsies were taken on each side of the dissection plane at 3 sites: median, medial and lateral. Several histological slides were prepared from each biopsy and examined for the presence of breast parenchymal or dispersed glandular tissue. RESULTS : Three hundred and forty nine histological slides were examined, 185 from the resected breast side and 164 from the subcutaneous side. Ninety four percent of the slides from the breast side contained glandular tissue. Breast glandular tissue was found outside the dissection plane in 16 of 20 cases and in 33% of slides. This was sparse and dispersed in 69% of slides. A mean of 81% of slides from individual cases revealed glandular tissue inside and the absence of glandular tissue outside the dissection plane (“expected result”), demonstrating predominantly accurate juxtacapsular dissection. CONCLUSION : This study demonstrated that accurate juxtacapsular inferior flap dissection leaves behind glandular breast tissue in a greater proportion of cases than any previous study. While this tissue is sparsely-distributed, surgeons should be aware of the occurrence of glandular breast tissue outside the juxtacapsular dissection plane in the majority of cases. en_US
dc.description.librarian hb2014 en_US
dc.description.uri en_US
dc.identifier.citation Karusseit, VOL, Oberholzer, HM, Irsigler, NG & Olorunju, SAS 2014, 'Determination of the accuracy of juxtacapsular dissection of the breast. What is left behind?', International Journal of Surgery, vol. 12, no. 5, pp. 384-389. en_US
dc.identifier.issn 1743-9191 (print)
dc.identifier.issn 1743-9159 (online)
dc.identifier.other 10.1016/j.ijsu.2014.03.012
dc.language.iso en en_US
dc.publisher Elsevier en_US
dc.rights © 2014 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved. Notice : this is the author’s version of a work that was accepted for publication in International Journal of Surgery. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in International Journal of Surgery, vol. 12, no. 5, pp. 384-389, 2014. doi : 10.1016/j.ijsu.2014.03.012. en_US
dc.subject Mastectomy en_US
dc.subject Dissection plane en_US
dc.subject Completeness of resection en_US
dc.title Determination of the accuracy of juxtacapsular dissection of the breast. What is left behind? en_US
dc.type Postprint Article en_US

Files in this item

This item appears in the following Collection(s)

Show simple item record