Breast quadrantectomy operative procedure in Okayama Central Hospital

Abstract

Our breast quadrantectomy operative procedure and the clinical results are reported. We have performed this method in 19 patients with stage I and II breast cancer under general anesthesia. A negative margin of cancer was confirmed by intraoperative histological examination. Our method of quadrantectomy was performed without suturing both cut edges, which allowed interstitial fluid to collect. Of nineteen patients operated using this method, 17 were satisfied with the cosmetic results. Burn and infection were the causes of deformity of the preserved breast. Tight adaptation of the skin suture, avoiding burns due to electrocautery and suturing of the residual duct are recommended procedures for satisfactory results.