odmj
OncoDaily Medical Journal
ODMJ
3067-6444
OncoDaily Medical Journal
US
8231
10.69690/ODMJ-001-1026-8231
Original Research
Variable-Volume Oncoplastic Reconstruction Using a Modified Würinger Central Pedicle Technique for Upper Quadrants Breast Cancer: a single-center experience
https://orcid.org/0000-0002-6179-2609
Pominchuk
Denys
Mammology Center, Kyiv, Ukraine
pominchuk@i.ua
https://orcid.org/0000-0002-2308-3596
Shevchuk
Tetiana
Mammology Center, Kyiv, Ukraine
https://orcid.org/0009-0005-3001-5419
Vytrykhovska
Iryna
Mammology Center, Kyiv, Ukraine
https://orcid.org/0000-0001-6866-0468
Abdalla
Karim
Mammology Center, Kyiv, Ukraine
https://orcid.org/0000-0001-9847-2396
Melnyk
Kateryna
Mammology Center, Kyiv, Ukraine
11
10
2026
Received: 08062026
Accepted: 21092026
ODMJ-001-1026-8231
Copyright (c) 2026 OncoDaily Medical Journal
2026
OncoDaily Medical Journal
Breast Cancer
breast conserving surgery
BREAST-Q
Multifocal breast cancer
Oncoplastic breast surgery
SURG-TLX
Therapeutic mammoplasty
Würinger central pedicle
production-ready-file-url
[
Fisher B, Anderson S, Bryant J, Margolese RG, Deutsch M, Fisher ER, et al. Twenty-year follow-up of a randomized trial comparing total mastectomy, lumpectomy, and lumpectomy plus irradiation for the treatment of invasive breast cancer. N Engl J Med. 2002;347(16):1233-1241. doi:10.1056/NEJMoa022152.
]
[
Veronesi U, Cascinelli N, Mariani L, Greco M, Saccozzi R, Luini A, et al. Twenty-year follow-up of a randomized study comparing breast-conserving surgery with radical mastectomy for early breast cancer. N Engl J Med. 2002;347(16):1227-1232. doi:10.1056/NEJMoa020989.
]
[
Clough KB, Kaufman GJ, Nos C, Buccimazza I, Sarfati IM. Improving breast cancer surgery: a classification and quadrant per quadrant atlas for oncoplastic surgery. Ann Surg Oncol. 2010;17(5):1375-1391. doi:10.1245/s10434-009-0792-y.
]
[
De La Cruz L, Blankenship SA, Chatterjee A, Geha R, Nocera N, Czerniecki BJ, et al. Outcomes after oncoplastic breast-conserving surgery in breast cancer patients: a systematic literature review. Ann Surg Oncol. 2016;23(10):3247-3258. doi:10.1245/s10434-016-5313-1.
]
[
Silverstein MJ, Savalia N, Khan S, Ryan J. Extreme oncoplasty: breast conservation for patients who need mastectomy. Breast J. 2015;21(1):52-59. doi:10.1111/tbj.12356.
]
[
Clough KB, Lewis JS, Couturaud B, Fitoussi A, Nos C, Falcou MC. Oncoplastic techniques allow extensive resections for breast-conserving therapy of breast carcinomas. Ann Surg. 2003;237(1):26-34. doi:10.1097/00000658-200301000-00005.
]
[
Losken A, Dugal CS, Styblo TM, Carlson GW. A meta-analysis comparing breast conservation therapy alone to the oncoplastic technique. Ann Plast Surg. 2014;72(2):145-149. doi:10.1097/SAP.0b013e3182605598.
]
[
Clough KB, Ihrai T, Oden S, Kaufman G, Massey E, Nos C. Oncoplastic surgery for breast cancer based on tumour location and a quadrant-per-quadrant atlas. Br J Surg. 2012;99(10):1389-1395. doi:10.1002/bjs.8877.
]
[
McCulley SJ, Macmillan RD. Planning and use of therapeutic mammoplasty: Nottingham approach. Br J Plast Surg. 2005;58(7):889-901. doi:10.1016/j.bjps.2005.03.008.
]
[
Fitoussi AD, Berry MG, Famà F, Falcou MC, Curnier A, Couturaud B, et al. Oncoplastic breast surgery for cancer: analysis of 540 consecutive cases. Plast Reconstr Surg. 2010;125(2):454-462. doi:10.1097/PRS.0b013e3181c82d3e.
]
[
McCulley SJ, Macmillan RD. Therapeutic mammaplasty: analysis of 50 consecutive cases. Br J Plast Surg. 2005;58(7):902-907. doi:10.1016/j.bjps.2005.03.007.
]
[
Kronowitz SJ, Hunt KK, Kuerer HM, Buchholz TA, Ensor JE, Koutz CA, et al. Practical guidelines for repair of partial mastectomy defects using the breast reduction technique in patients undergoing breast conservation therapy. Plast Reconstr Surg. 2007;120(7):1755-1768. doi:10.1097/01.prs.0000287130.77835.f6.
]
[
Schlenz I, Rigel S, Schemper M, Kuzbari R. Alteration of nipple and areola sensitivity by reduction mammaplasty: a prospective comparison of five techniques. Plast Reconstr Surg. 2005;115(3):743-751. doi:10.1097/01.PRS.0000152435.03538.43.
]
[
Würinger E, Mader N, Posch E, Holle J. Nerve and vessel supplying ligamentous suspension of the mammary gland. Plast Reconstr Surg. 1998;101(6):1486-1493. doi:10.1097/00006534-199805000-00009.
]
[
Würinger E. Refinement of the central pedicle breast reduction by application of the ligamentous suspension. Plast Reconstr Surg. 1999;103(5):1400-1410. doi:10.1097/00006534-199904050-00008.
]
[
Hamdi M, Marina C, De Baerdemaeker R, Kapila AK, Vanhoeij M, Giunta G, et al. A new oncoplastic technique with immediate nipple reconstruction for central breast tumors using Würinger’s septum-based flap. J Plast Reconstr Aesthet Surg. 2022. doi:10.1016/j.bjps.2022.08.005.
]
[
Kelahmetoglu O, Firinciogullari R, Yagmur C, et al. Combination of Würinger’s horizontal septum and inferior pedicle techniques to increase nipple-areolar complex viability during breast reduction surgery. Aesthetic Plast Surg. 2017;41(6):1311-1317. doi: 10.1007/s00266-017-0933-9
]
[
Pak LM, Matar-Ujvary R, Verdial FC, Haglich KA, Sevilimedu V, Nelson JA, et al. Long-term patient-reported outcomes comparing oncoplastic breast surgery and conventional breast-conserving surgery: a propensity score-matched analysis. Ann Surg Oncol. 2023;30(12):7091-7098. doi:10.1245/s10434-023-13962-x.
]
[
Lee A, Dangi A, Dessauvagie B, et al. Outcome reporting in therapeutic mammaplasty: a systematic review. BJS Open. 2021;5(6):zrab126. doi:10.1093/bjsopen/zrab126.
]
[
Moran MS, Schnitt SJ, Giuliano AE, Harris JR, Khan SA, Horton J, et al. Society of Surgical Oncology-American Society for Radiation Oncology consensus guideline on margins for breast-conserving surgery with whole-breast irradiation in stages I and II invasive breast cancer. Ann Surg Oncol. 2014;21(3):704-716. doi:10.1245/s10434-014-3481-4.
]
[
Morrow M, Van Zee KJ, Solin LJ, Houssami N, Chavez-MacGregor M, Harris JR, et al. Society of Surgical Oncology-American Society for Radiation Oncology-American Society of Clinical Oncology consensus guideline on margins for breast-conserving surgery with whole-breast irradiation in ductal carcinoma in situ. Ann Surg Oncol. 2016;23(12):3801-3810. doi:10.1245/s10434-016-5449-z.
]
[
Pusic AL, Klassen AF, Scott AM, Klok JA, Cordeiro PG, Cano SJ. Development of a new patient-reported outcome measure for breast surgery: the BREAST-Q. Plast Reconstr Surg. 2009;124(2):345-353. doi:10.1097/PRS.0b013e3181aee807.
]
[
Cohen WA, Mundy LR, Ballard TN, Klassen A, Cano SJ, Browne J, et al. The BREAST-Q in surgical research: a review of the literature 2009-2015. J Plast Reconstr Aesthet Surg. 2016;69(2):149-162. doi:10.1016/j.bjps.2015.11.013.
]
[
Oemrawsingh A, Spronk PER, van der Hulst RRWJ, et al. BREAST-Q breast-conserving therapy module: normative data from a Dutch population. Plast Reconstr Surg. 2022;150(5):1013-1022. doi: 10.1097/PRS.0000000000009607
]
[
Wilson MR, Poolton JM, Malhotra N, Ngo K, Bright E, Masters RSW. Development and validation of a surgical workload measure: the Surgery Task Load Index (SURG-TLX). World J Surg. 2011;35(9):1961-1969. doi:10.1007/s00268-011-1141-4.
]