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Background <p>Breast-conservation therapy is an oncologically safe alternative to mastectomy, offering superior psychological and aesthetic outcomes. Lesions in the upper inner quadrant, however, present reconstructive challenges due to limited tissue availability and the visibility of defects. We report our experience with matrix rotation oncoplasty with Burow’s triangle excision for such tumours.</p> Methods <p>This retrospective study included patients with upper inner quadrant breast cancer who underwent matrix rotation oncoplasty between January 2022 and January 2025. Data on demographics, tumour characteristics, operative details, complications, and oncological outcomes were analysed. Aesthetic outcome after radiotherapy was assessed using a five-parameter Aesthetic Items Scale (AIS) by an external plastic surgeon. Patient satisfaction was recorded on a Likert scale of 1–10.</p> Results <p>Eleven patients underwent the procedure (mean age 45 years(SD ± 10 years); six left-sided, five right-sided). Tumours ranged from pT1 to pT3, with a mean size of 2.7&#xa0;cm. Axillary staging comprised sentinel node biopsy in eight and axillary dissection in three patients. Two patients required margin re-excision, and one developed wound dehiscence, managed with resuturing. At a mean follow-up of 17 months, all were alive without recurrence. Mean AIS scores (each out of 10) were: Volume 8.55, Shape 8.64, Symmetry 7.91, Scar 7.27, and NAC 8.36. Mean patient satisfaction was 9.2/10.</p> Conclusions <p>Matrix rotation oncoplasty with Burow’s triangle excision is a safe and feasible technique for upper inner quadrant breast cancers, with acceptable cosmetic outcomes and high patient satisfaction. A longer follow-up is required to assess oncological safety.</p>

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Matrix Rotation Oncoplasty for Upper Inner Quadrant Breast Cancers

  • 期刊论文

  • 发表日期：

    2026年5月28日

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  • T. V. Murali,
  • Pallikamattom Mathew Philip,
  • Lekshmi Malathi,
  • Susan Jacob Navya,
  • Jino Sebastian,
  • Fobin Varghese,
  • Aurobindo Lakshmanan

摘要

Background

Breast-conservation therapy is an oncologically safe alternative to mastectomy, offering superior psychological and aesthetic outcomes. Lesions in the upper inner quadrant, however, present reconstructive challenges due to limited tissue availability and the visibility of defects. We report our experience with matrix rotation oncoplasty with Burow’s triangle excision for such tumours.

Methods

This retrospective study included patients with upper inner quadrant breast cancer who underwent matrix rotation oncoplasty between January 2022 and January 2025. Data on demographics, tumour characteristics, operative details, complications, and oncological outcomes were analysed. Aesthetic outcome after radiotherapy was assessed using a five-parameter Aesthetic Items Scale (AIS) by an external plastic surgeon. Patient satisfaction was recorded on a Likert scale of 1–10.

Results

Eleven patients underwent the procedure (mean age 45 years(SD ± 10 years); six left-sided, five right-sided). Tumours ranged from pT1 to pT3, with a mean size of 2.7 cm. Axillary staging comprised sentinel node biopsy in eight and axillary dissection in three patients. Two patients required margin re-excision, and one developed wound dehiscence, managed with resuturing. At a mean follow-up of 17 months, all were alive without recurrence. Mean AIS scores (each out of 10) were: Volume 8.55, Shape 8.64, Symmetry 7.91, Scar 7.27, and NAC 8.36. Mean patient satisfaction was 9.2/10.

Conclusions

Matrix rotation oncoplasty with Burow’s triangle excision is a safe and feasible technique for upper inner quadrant breast cancers, with acceptable cosmetic outcomes and high patient satisfaction. A longer follow-up is required to assess oncological safety.