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Biomedical subjects

M Soussaline

Publications and source records attributed to M Soussaline.

At least 19 recordsLinked to original sources
PubMed1995

Conservative treatment of breast cancers by mammaplasty and irradiation: a new approach to lower quadrant tumors.

Conservative treatment of breast cancers confined to the lower quadrants often leaves a residual deformity. In order to prevent these poor cosmetic results, 20 patients with lower quadrant cancers have been treated since 1986 at the Institut Curie by wide lumpectomy combined with immediate remodeling of the gland by nipple-bearing superior pedicle mammaplasty and preoperative (9 cases) or postoperative (11 cases) irradiation. The contralateral breast was always rendered symmetrical at the same time. The mean weight of resection was 248 gm, and the resection margins were always free of tumor. The treatment protocols were not modified by the addition of mammaplasty to lumpectomy, and this combination did not induce any significant complications. The mean follow-up was 4.5 years (range 1 to 7.5 years). There was one case of local recurrence; there were four cases of metastases. In this series, the oncologic results were identical to those of conventional treatment by lumpectomy and irradiation. The cosmetic result was good or very good in 75 percent of patients and 91 percent of patients in the group in which mammaplasty was performed prior to irradiation. Treatment of breast cancers by superior pedicle reduction mammaplasty and irradiation is indicated in tumors located in the lower quadrants, whose size in relation to the breast volume is such that conventional conservative treatment by lumpectomy and irradiation would achieve a poor cosmetic result.

Adult↗
PubMed1990

[Mammoplasty combined with irradiation: conservative treatment of breast cancer localized in the lower quadrant].

Conservative radio-surgical treatment of breast neoplasms is often responsible for poor cosmetic results when the tumor is located in the lower quadrants. Since 1986, ten patients with such a tumor were treated at the Curie Institute by a combination of a superior pedicle mammaplasty and radiotherapy. The mammaplasty was bilateral in nine cases. Four patients were operated upon before radiotherapy, while the six others had preoperative radiotherapy. The average weight of the lumpectomy was 193 g, and its margins were always tumor-free. There were no locoregional recurrences (average follow-up time: 16 months). Symmetrization enabled us to obtain contralateral histological data. The cosmetic results were very good when surgery was performed before radiotherapy. When radiotherapy was performed first, the result was often slightly asymmetric, with a smaller irradiated breast. The only complication was partial areolar necrosis in one patient who had been heavily irradiated (85 grays). The combination of a mammaplasty and radiotherapy makes it possible to perform a large lumpectomy of the lower quadrants with good cosmetic results. The interest of this protocol in the extension of the indications for conservative treatments of breast neoplasms is discussed.

Adenocarcinoma↗
PubMed1990

[Choice of methods for reconstruction of the cheek after carcinologic excision based on a retrospective study of 32 cases in 8 years from 1980 to 1987 at the Gustave Roussy Institute].

In this article, after reviewing the different possibilities for cheek reconstruction consecutive to carcinologic excision, we specify the choice method for closure, according to the anatomical type of substance loss incurred. In all cases, endobuccal skin covering is needed. --As regards small lesions, there is no such thing as "the" ideal flap. --As far as tegumental cheeks are concerned, the deltopectoral flap is the choice one. --In case of mucous reconstruction, submental flaps afford elegant solutions. --With large lesions, musculocutaneous flaps are best used. Lastly, it seems that the first surgical treatment (excision, curage and plasty) followed or not by radiotherapy, depending on anatomopathological findings, brings acceptable and prompt restoration of function and morphology.

Adult↗
PubMed1989

[The safety navel].

A safe procedure for the management of post-abdominal plasty hematomas.

Abdominal Muscles↗
PubMed1988

The use of the latissimus dorsi musculocutaneous flap following recurrence of cancer in irradiated breasts.

The latissimus dorsi musculocutaneous flap was used to provide chest wall coverage in 40 patients following mastectomy to treat recurrent cancer in irradiated breasts. Although the axillary region had received 50 to 55 grays, the neurovascular pedicle was never jeopardized, thus assuring vascularisation of the flap. In two cases, a small area of skin necrosis in the upper inner border of the flap was observed. Complete healing occurred within weeks. The authors advocate this fast and simple surgical procedure when the quality of the skin and/or the extent of resection prevents primary closure.

Breast Neoplasms↗
PubMed1985

[A new technic of cutaneous suture. The SAFE technic (Suture, Assisted by adhesive Film, for Esthetic results)].

A new cutaneous suture technique is described. It is designed for tegumental closing of rectilinear incisions in nonseptic surgery. The technique involves intradermal overcasting with monofilament non-resorbable suture covered with a double adhesive film which reduces strain and provides a therapeutic pressure; after ablation of the first film, it is replaced with adhesive films continuously for 2 months. This technique provides the following advantages: rapidity of suture, simplification of postoperative care, improvement in patient comfort, major reduction in duration of the inflammatory cicatricial period, improvement in final aesthetic results, spectacular in the case of zones under high mechanical tension (arms and legs, scapular belt, etc.), reduction in total cost: suture + postoperative dressing. This technique has been studied for 1 1/2 years in more than 400 patients undergoing various procedures, both for immediate suture and for resuture of the trunk and extremities; postoperative cicatrization appears to be optimal from the standpoints of both the surgeon and the patient, and in our experience, there have been only two minor allergic reactions which did not compromise normal cicatrization. This technique is presented in detail, with a summary of indications and results.

Cicatrix↗
PubMed1985

[A case of Torre's syndrome: association of a meibomian adenocarcinoma with a cecal tumor].

The authors report a case of sebaceous adenocarcinoma of the eyelid developed in meibomian glands. This tumor grew slowly for several years and was diagnosed three years after an intestinal adenocarcinoma was discovered in the same patient. This case is part of a Torre's syndrome (association of a sebaceous neoplasm and a visceral malignancy). Such an association represents an original example of multiple tumors and shows that the discovery of a sebaceous tumor, benign or malignant, indicates a careful search of an internal malignancy.

Adenocarcinoma↗