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Bilateral DIEP flap breast with simultaneous unilateral nipple-sparing mastectomy — case report

Łukasz Ulatowski Piotr Gierej Maria Molska
Folia Medica Cracoviensia | 2021 | Vol. 61 | No 3 | 115-124 | DOI: 10.24425/fmc.2021.138955
Keywords bilateral breast reconstruction DIEP flap risk-reducing mastectomy prophylactic mastectomy breast cancer nipple-sparing mastectomy
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Abstract

With the steady increase in the incidence of breast cancer in women, treatment that includes not only tumor removal but also breast reconstruction is becoming a more relevant issue for oncologic and plastic surgeons. Mastectomy recently evolved as a form of primary prevention of hereditary breast cancer, commonly performed in combination with simultaneous reconstruction. A case of 44-year-old woman who underwent right mastectomy with adjuvant radiotherapy is presented. Due to the patient’s positivity for BRCA1 mutation and her wishes, a risk-reducing mastectomy with nipple-areola complex preservation and bilateral deep inferior epigastric artery perforator flap reconstruction were performed in one-stage. In selected cases this method appears to be the best possible procedure for simultaneous preventative and reconstructive management in patients with genetically determined breast cancer who have undergone mastectomy with radiotherapy.
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Bibliography

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Authors and Affiliations

Łukasz Ulatowski
1
Piotr Gierej
1
Maria Molska
1
  1. Department of Plastic Surgery, Medical Centre for Postgraduate Education, Professor W. Orlowski Memorial Hospital, 231st Czerniakowska Street, 00-416 Warsaw, Poland

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