ONCOPLASTIC RESECTION OF UPPER OUTER QUADRANT BREAST CANCER | ||
| The Egyptian Journal of Surgery | ||
| Article 7, Volume 30, Issue 2, April 2011, Pages 84-91 PDF (4.25 M) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2011.367379 | ||
| Authors | ||
| Waleed Elnahas* ; Tamer Fady; Mohamed Hegazy | ||
| Mansoura Oncology Center, Mansoura Faculty of Medicine, Mansoura University, Egypt | ||
| Abstract | ||
| Aim: We report the results of four different oncoplastic procedures performed for upper outer quadrant breast cancer. Methods: A total of 56 patients of early stage breast cancer were included in the current study. They were divided into 4 groups according to the surgical technique; Group I, round block technique, Group II, lateral breast mammoplasty, Group III: batwing and hemi batwing techniques, and Group IV: vertical mammoplasty technique. Each technique was evaluated regarding the procedure related complications, aesthetic result, and oncologic outcome. Results: Thirteen patients underwent round block technique. Cosmetic outcome was excellent in 45% of patients and good in 55 %. One patient developed local recurrence and mastectomy was performed. Fifteen patients underwent lateral mammoplasty. Four patients showed excellent result (29%) while 7 patients showed good results (50%) and 3 (21%) patients showed satisfactory result. Two patients developed local recurrence and mastectomy was performed. In batwing and hemi batwing group (n=18), the cosmetic outcome was good in 68.7 % of patients. Vertical mammoplasty was performed to 10 patients; two patients showed wound dehiscence treated by secondary sutures the cosmetic results were excellent in 60% of patients Conclusion: The use of oncoplastic techniques achieved negative margins with better cosmetic results and acceptable associated morbidities in the majority of patients. | ||
| Keywords | ||
| Mammary cancer; Conservative surgery; cosmetic outcome | ||
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