A BALANCE BETWEEN BREAST RECONSTRUCTION AND AMPUTATION, GOLDILOCK MASTECTOMY dashaulrikh@mail.ru

 

A BALANCE BETWEEN BREAST RECONSTRUCTION AND AMPUTATION, GOLDILOCK MASTECTOMY

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Tengiz Tabagua tedo8308@mail.ru FSBI National Medicine Research Center of Oncology named after N.N. Petrov of MoH of Russia, Russia, Saint Petersburg, Pesochny, 68 Leningradskaya St., 197758. Research Fellow of the Research Division of Breast Cancer Oncology Saint Petersburg Russia

Larisa Gigolaeva gigosha532@gmail.com FSBI National Medicine Research Center of Oncology named after N.N. Petrov of MoH of Russia, Russia, Saint Petersburg, Pesochny, 68 Leningradskaya St., 197758. Research Fellow of the Research Division of Breast Cancer Oncology Saint Petersburg Russia

Aleхandr Komyakhov komyahov@yandex.ru FSBI National Medicine Research Center of Oncology named after N.N. Petrov of MoH of Russia, Russia, Saint Petersburg, Pesochny, 68 Leningradskaya St., 197758. Research Fellow of the Research Division of Breast Cancer Oncology Saint Petersburg Russia

Sergey Yerechshenko dr.ereschenko@gmail.com FSBI National Medicine Research Center of Oncology named after N.N. Petrov of MoH of Russia, Russia, Saint Petersburg, Pesochny, 68 Leningradskaya St., 197758. Research Fellow of the Research Division of Breast Cancer Oncology Saint Petersburg Russia

Russia

Poster Exhibition only

Goldilocks mastectomy is an innovative surgical technique developed for patients with breast cancer who are looking for a balance between oncologically safe tumor removal and an optimal final aesthetic result.

This study included 22 patients (31 Goldilocks mastectomy) aged 31 to 75 years diagnosed with breast cancer who received treatment from June 2023 to November 2024 at the FSBI “N.N. Petrov National Medical Research Center of Oncology” of the Russian Ministry of Health. The average BMI was 29,69 ± 3,92 kg/m2. Obesity was diagnosed in 86,4% (19/22) of cases. All patients had 2 or 3 degrees of mammary gland ptosis.

In 59,1% (13/22) of cases patients underwent unilateral Goldilocks mastectomies, in 40,9% (9/22) - bilateral operations using this technique. In 16 patients (72,7%) the nipple-areolar complex was preserved. The overall complication rate was 12,9% (4/31). The patients noted that the final subjective perception of the treatment results exceeded the expectations of the performed surgical intervention.

Breast reconstruction in overweight patients can be performed in various ways. Based on the experience of the Federal State Budgetary Institution "NMIC of Oncology named after N.N. Petrov" of the Ministry of Health of the Russian Federation and the results of this study, Goldilocks mastectomy is the best reconstruction option for patients with high BMI or ptosis of the mammary glands, as well as concomitant diseases. This technique allows the surgeon to remove breast tissue within the anterior and posterior leaves of the superficial fascia, create additional volume using a de-epidermized flap, which preserves oncological safety and improves the aesthetic result.