Oncoplastic Volume Displacement Approaches in Breast-Conserving Surgical Procedures for Breast Cancer Patients | ||
| SVU-International Journal of Medical Sciences | ||
| Article 21, Volume 8, Issue 1, January 2025, Pages 235-248 PDF (529 K) | ||
| Document Type: Original research articles | ||
| DOI: 10.21608/svuijm.2024.329271.1997 | ||
| Authors | ||
| Hamdy Mohamed Hussein1; Omar Farouk Ali2; Mohammed Ahmed Omar3; Hamdy Hamed Mousa* 3 | ||
| 1General Surgery Department, Faculty of Medicine, Luxor University, Luxor, Egypt. | ||
| 2General Surgery Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt. | ||
| 3General Surgery Department, Faculty of Medicine, South Valley University, Qena, Egypt. | ||
| Abstract | ||
| Background: Breast cancer, the second most common malignancy in women. Cancer traits determine treatment, usually mastectomy and lumpectomy. Oncoplastic breast surgery increases patient satisfaction and decreases postoperative deformity while preserving breast-conserving aspects. Objectives: To implement oncoplastic breast-conserving to achieve safe margins and good aesthetics, while evaluating patient satisfaction, complications, and recurrence rates. Patients and methods: This prospective study was conducted with 30 breast cancer patients eligible for breast conservation, excluding those with prior radiation or large tumors. Diagnostic tools included ultrasound, mammography, and magnetic resonance imaging. Oncoplastic techniques ensured minimum margins and proper flap relocation, utilizing methods such as glandular flap displacement and reduction mammoplasty. Patients received post-surgery radiotherapy and were monitored for complications and metastasis over two years. Results: The study comprised 30 patients with a mean age of (43.2±8.72) years and a mean body mass index of (30.3±4.61) kg/m². 16.67% had hypertension, 10% diabetes, and 6.67% ischemic heart disease. Breast cup sizes were 56.67%B, 30% C and 13.33% D. Lateral Mammoplasty (20%), inferior pedicle mammoplasty (13.33%), Round Block Technique (23.33%) and Various techniques were each (3.33%). Seroma (16.67%) and wound infection (10%) were complications. The average surgeon aesthetic score was (4.07±0.73), and the average tumor size was (3.87±1.76) cm. Both invasive ductal carcinoma (76.67%) and ductal carcinoma in situ (16.67%) were biologically classified as Luminal A (43.33%) and B (43.33%). Conclusion: Oncoplastic procedures produced free pathological margins, surgeon aesthetic scores and patient satisfaction results were great, and 3.33% recurrence encouraging the wider use of these breast cancer treatments. | ||
| Keywords | ||
| Oncoplastic; Volume Displacement; Breast Conserving Surgery; Breast Cancer; Surgical Techniques | ||
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