Assessment of Different Oncoplastic Techniques in The Management of Centrally Located Breast Cancer | ||
| The Egyptian Journal of Surgery | ||
| Article 23, Volume 44, Issue 3, July 2025, Pages 985-990 PDF (551.99 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2025.354991.1365 | ||
| Authors | ||
| Ahmed Ismaeil Abou Rawy* 1; Galal Mohammed Mostafa Abou Elnagah2; Tarek Abdel Halim El Fayoumi2; Ahmed Nagy Mohammed Abdel Aziz2 | ||
| 1Department of General Surgery, Kafr El Dawwar General Hospital, Kafr El Dawwar, Egypt | ||
| 2Department of General Surgery, Faculty of Medicine, Alexandria University, Alexandria, Egypt | ||
| Abstract | ||
| Background: Centrally located breast cancer poses unique challenges due to its proximity to the nipple–areola complex, impacting both oncological safety and cosmetic outcomes. This study evaluates the efficacy of various oncoplastic surgical techniques in achieving optimal oncological and esthetic results. Patients and Methods: A prospective study was conducted on 40 female patients with stage I or II centrally located breast cancer at Alexandria Main University Hospital. Patients underwent tailored oncoplastic surgeries, including Grisotti mastopexy, anterior intercostal artery perforator flap, central quadrantectomy, crescent mastopexy, and batwing resections. Outcomes were assessed through oncological measures (surgical margins, local recurrence) and cosmetic evaluations (BREAST-Q and Harris scale). Results: Clear surgical margins were achieved in 100% of cases. No local recurrences were reported during followup. Cosmetic outcomes were highly satisfactory, with 85% scoring above 8 on the Harris scale and 92% reporting improvements in body image via the BREAST-Q. Complications were minimal, with flap necrosis in 5% and seroma formation in 10% of cases, and no delays in adjuvant therapy initiation. The anterior intercostal artery perforator flap and Grisotti mastopexy provided the best cosmetic outcomes. Conclusion: Oncoplastic techniques effectively balance oncological safety with superior esthetic results, significantly enhancing patient satisfaction and psychological well-being. These findings emphasize the need for individualized surgical approaches in centrally located breast cancer management. | ||
| Keywords | ||
| Assessment of Different Oncoplastic Techniques in The Management of Centrally Located Breast Cancer | ||
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