Therapeutic mammoplasty: is it a solution for treatment of early breast cancer? | ||||
| The Egyptian Journal of Plastic and Reconstructive Surgery | ||||
| Articles in Press, Accepted Manuscript, Available Online from 06 June 2021 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejprs.2021.76553.1077 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
youssef Saleh  1; Mohamed Rizk2; hesham fouad3; mahmoud shehata3; tarek mostafa3
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| 1Plastic & Reconstructive surgery, Faculty of Medicine, Assiut University, Assiut, Egypt | ||||
| 2General Surgery department, Faculty of Medicine, Assiut University, Assiut, Egypt | ||||
| 3General surgery department, Faculty of Medicine, Assiut University, Assiut, Egypt | ||||
| Abstract | ||||
| Conservative breast surgery has become the standard treatment of early stages breast cancer as it provides the same oncological safety as the classic mastectomy, but in many cases, this led to marked breast deformity especially when the resected mass is large or the mass is located in difficult areas as the upper inner breast quadrant. Objective: This study aims to evaluate the oncological and aesthetic outcome of the therapeutic mammoplasty in treating breast cancers located in the upper breast quadrants. Patient and method: Oncoplastic excision of breast cancer by doing bilateral inferior pedicle mammoplasty was performed on 50 patients in Assiut university hospital between 2016 and 2020. This study was performed on patients with early-stage breast cancer located in the upper inner or outer breast quadrants including those who received neoadjuvant chemotherapy. Evaluation of the short-term surgical outcomes including hospital stay, complications, and symmetrization was done. Patient satisfaction and recurrence were also assessed. Results: A total of 50 patients were included in the study. The mean age was 48.7 years and the tumors were located in the upper outer quadrant, upper inner quadrant, and upper breast pole in 35, 8, and 7 patients respectively. The mean operative time was 3.2 hours. Only 12% of patients showed early complications in form of seroma and wound dehiscence. 90% of the patients showed good symmetry and only 10% showed fair symmetry in the last follow-up (18 months postoperative). 94% of our patients were highly satisfied with the aesthetic outcome. We didn’t report any recurrence. Conclusion: This study shows that oncoplastic breast surgery, as the therapeutic mammoplasty, for breast cancers in the upper breast quadrants can achieve equivalent oncological results as the classic breast conservative surgery with advantageous cosmetic outcome and breasts symmetry especially the inferior pedicle mammoplasty technique which led to much better patients’ satisfaction than the conventional conservative surgeries. | ||||
| Keywords | ||||
| Aesthetic outcome; Breast neoplasm; therapeutic mammoplasty; oncoplastic breast surgery; upper breast quadrants | ||||
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