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Autologous fat grafting, also known as lipofilling, is a surgical technique consisting in the processing and transfer of adipose tissue from one area in our organism (hips, thighs) to region which in need of reconstructive and aesthetic correction. The technique is frequently used after radical or conservative mammary surgery, aiming to achieve better aesthetic results, reduce pain induced by both surgery and radiotherapy. The scientific community was widely involved in the debate regarding the use of mesenchymal/stem cells in a patient with high risk of tumor progression due to their elevated proliferative profile. This study aims to retrospectively evaluate the oncological safety in the use of lipofilling in patients who underwent oncological and reconstructive treatment in our Institute.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Women receiving autologous fat grafting | Women who received breast reconstruction and autologous fat grafting. |
| |
| Control | Women who received breast reconstruction only. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Autologous fat grafting procedure | Procedure | Surgical intervention based on the injection of autologous fat grafting after radical or conservative breast surgery and breast reconstruction. |
| Measure | Description | Time Frame |
|---|---|---|
| Oncological safety of autologous fat grafting | Percentage of disease relapse in loco | Two years |
| Measure | Description | Time Frame |
|---|---|---|
| Establishment of timing in disease relapse | Two years | |
| Establish the distribution in disease relapses | Establish the distribution in disease relapse in thre different histological subtypes of breast carcinoma |
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Inclusion Criteria:
Exclusion Criteria:
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Female patients with breast carcinoma (any histological type, carcinoma in situ included) and treated with radical or conservative surgery and lipofilling. Patients received a minimum of two year follow up.
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| Name | Affiliation | Role |
|---|---|---|
| Marco Klinger, MD | Istituto Clinico Humanitas | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Istituto Clinico Humanitas | Rozzano | Milan | 20089 | Italy |
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| ID | Term |
|---|---|
| D010149 | Pain, Postoperative |
| D001943 | Breast Neoplasms |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D010146 | Pain |
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| ID | Term |
|---|---|
| D016462 | Mammaplasty |
| ID | Term |
|---|---|
| D003357 | Cosmetic Techniques |
| D013812 | Therapeutics |
| D019651 | Plastic Surgery Procedures |
| D013514 | Surgical Procedures, Operative |
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| Breast reconstruction | Procedure | Breast reconstructive procedures after oncological radical or conservative breast surgery |
|
| Two years |
| Establish overall survival rate in experimental and control groups | Two years |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D001941 | Breast Diseases |
| D012871 | Skin Diseases |
| D017437 | Skin and Connective Tissue Diseases |