J. Thompson Kevin

University of Indonesia

Author Statistics

Papers

Citation

H-Index

i-10 index

Research Field

Quality of Life in Palliative Post-mastectomy Reconstruction: Keystone versus Rotational Flap

Plastic & Reconstructive Surgery Global Open (2021)

Irena Sakura Rini Alberta Jesslyn Gunardi Yashinta J. Thompson Kevin Renate Parlene Marsaulina

Late stage breast cancer presents with malignant wound causing skin infiltration, pain, bleeding, and malodour, which affect quality of life (QoL). Palliative mastectomy aims to eliminate wound symptoms and requires prolonged wound care to improve QoL. This study aimed to prospectively investigate QoL differences in 2 alternative reconstructive methods: keystone flap and rotational flap.Twenty-four late stage breast cancer patients with symptoms of cancer wounds were included in this study. They were divided into 2 groups: keystone flap and rotational flap. Each patient's QoL was evaluated using EORTC QLQ-C30 and QLQ-BR23 before and 3 weeks after surgery.Global health post-surgery was significantly improved compared with pre-surgery in all patients (P < 0.001), across both the keystone (P = 0.018) and rotational groups (P = 0.007). Breast symptoms post-surgery were also improved compared with pre-surgery in all patients (P = 0.035). However, when analyzed per group, breast symptoms were only improved significantly in the keystone group (P = 0.013) but not in the rotational group (P = 0.575). When compared between 2 groups, future perspective post-surgery in the keystone group [100 (0-100)] was better than the rotational group [66.7 (0-100)], (P = 0.020).Reconstructive surgery after mastectomy improves QoL in late stage breast cancer patients. The keystone flap is superior to the rotational flap in improving global health and breast symptoms.

Reconstructive Surgery

Breast-conserving surgery

10.1097/gox.0000000000003457

Cite

Citations (3)

Multiple Lower Eyelid Nodules In Breast Cancer Patient With History Of Dermal Fillers: A Case Report

Jurnal Plastik Rekonstruksi (2020)

Alberta Jesslyn Gunardi Renate Parlene Marsaulina J. Thompson Kevin Irena Sakura

Background: Dermal filler injections have been associated with several complications, including migration to other areas and forming nodules due to the presence of foreign bodies or granulomatous reactions may develop, which encapsulates the filler. Fillers might also be associated with malignancy. The presence of such complications must be removed with reconstructive surgery. Methods: We present a case of breast cancer patient with a history of dermal filler injection to the lower eyelid. The nodules in the lower eyelid was surgically removed, and the lower eyelid, particularly the muscle, was reconstructed to provide a good cosmetic result. The nodules were also pathologically examined to confirm the diagnosis. Reconstruction of the lower eyelid was conducted with care by noting the aesthetic aspects. Results: A local muscle flap was easy to harvest and handle, and provided good results. It is also important to consider malignancy to treat the patient thoroughly. The pathology examination confirmed the diagnosis of metastasis. This case is unique because the nodules developed in the patient may be associated with metastasis of the cancer or the dermal filler injection. Conclusion: Our reconstruction technique leads to a good cosmetic result. There are no sign of complications and recurrence at 3 months following the procedure.

Filler (materials)

10.14228/jpr.v6i2.289

Cite

Citations (0)

Visualization of single nucleotide variant validation.

R. K. Gopala Krishna M. Necela Brian Xiaojia Tang J. Thompson Kevin Lau Melissa

10.1371/journal.pone.0079298.g007

Cite

Citations (0)

HER2-positive tumor interactome.

R. K. Gopala Krishna M. Necela Brian Xiaojia Tang J. Thompson Kevin Lau Melissa

Interactome

10.1371/journal.pone.0079298.g012

Cite

Citations (0)