SUBCUTANEOUS MASTECTOMY WITH AXILLARY DISSECTION PLUS BREAST RECONSTRUCTION USING LATISSIMUS-DORSI MYOCUTANEOUS FLAP (OR LATISSIMUS-DORSI MUSCLE) FOR BREAST-CANCER

Subcutaneous mastectomy with axillary dissection plus breast reconstru ction using latissimus dorsi myocutaneous flap (or latissimus dorsi mu scle) was carried out for. 8 patients with breast cancer. These consis ted of I patient with non-invasive ductal carcinoma, 5 with stage I(4 invasive ductal carcinomas and I invasive lobular carcinoma) and 2 wit h stage II (I invasive ductal carcinoma and 1 invasive lobular carcino ma). Cancer cells were recognized histopathologically in the resection margins of the small mammary gland resting under the nipple in only I case, and the remaining 7 cases underwent a curative resection. In th e prognosis, 7 patients were disease-free and I showed a local recurre nce. The patient with local recurrence showed no metastasis after the resection of the local lesion. The cosmetic results of this operation were excellent in all patients. This operation was effective both for these patients with breast cancer who did not want to undergo breast c onserving surgery or modified radical mastectomy and for those who wer e excluded from the criteria of breast conserving surgery from the pro gnostic and cosmetic points of view.