Open AccessAcellular dermal matrix combined with oxidized regenerated cellulose for partial breast reconstruction
Author(s) -
Jeeyeon Lee,
Jung Dug Yang,
Jeong Woo Lee,
Junjie Li,
Jin Hyang Jung,
Wan Wook Kim,
Chan Sub Park,
Joon Seok Lee,
Ho Yong Park
Publication year - 2020
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000021217
Subject(s) - medicine , breast cancer , biopsy , sentinel lymph node , breast ultrasound , mastectomy , seroma , modified radical mastectomy , ductal carcinoma , radiology , breast reconstruction , magnetic resonance imaging , acellular dermis , surgery , mammography , implant , cancer , complication
Rationale: Filling materials for partial defect of the breast have rarely been developed because of safety and durability. Patient concerns: Two female patients (ages, 53 and 50 years) with breast cancer underwent partial mastectomy with sentinel lymph node biopsy. Diagnosis: Core needle biopsy revealed an invasive ductal carcinoma in both patients. Breast ultrasound showed hypoechoic nodules with irregular margins. Breast magnetic resonance imaging showed an irregularly shaped enhancing mass with duct extension in Patient 1 and irregularly shaped multifocal, enhancing masses with non-mass enhancement in Patient 2. Intervention: A combination method using acellular dermal matrix and oxidized regenerated cellulose was used for partial breast reconstruction. The safety and cosmetic outcomes were evaluated for both patients. Outcomes: There were no significant complications, and the breast shape and volume were well maintained, even 2 years after surgery. There was no postoperative tumor recurrence. Conclusion: The combination of acellular dermal matrix and oxidized regenerated cellulose for partial breast reconstruction can be a good option based on oncological safety and cosmetic outcome.