Round block technique and modified round block technique as a cornerstone of oncoplastic breast surgery for early breast cancer
Mahmoud, N., Ahmed, A., Ali, O., Radwan, A. (2024). Round block technique and modified round block technique as a cornerstone of oncoplastic breast surgery for early breast cancer. EKB Journal Management System, 43(3), 742-746. doi: 10.21608/EJSUR.2024.357122
Noha A. Mahmoud; Ahmed E. Ahmed; Omar F. Ali; Alaa A. Radwan. "Round block technique and modified round block technique as a cornerstone of oncoplastic breast surgery for early breast cancer". EKB Journal Management System, 43, 3, 2024, 742-746. doi: 10.21608/EJSUR.2024.357122
Mahmoud, N., Ahmed, A., Ali, O., Radwan, A. (2024). 'Round block technique and modified round block technique as a cornerstone of oncoplastic breast surgery for early breast cancer', EKB Journal Management System, 43(3), pp. 742-746. doi: 10.21608/EJSUR.2024.357122
Mahmoud, N., Ahmed, A., Ali, O., Radwan, A. Round block technique and modified round block technique as a cornerstone of oncoplastic breast surgery for early breast cancer. EKB Journal Management System, 2024; 43(3): 742-746. doi: 10.21608/EJSUR.2024.357122

Round block technique and modified round block technique as a cornerstone of oncoplastic breast surgery for early breast cancer

The Egyptian Journal of Surgery
Volume 43, Issue 3, July 2024, Page 742-746  XML PDF (728.06 K)
Document Type: Original Article
DOI: 10.21608/EJSUR.2024.357122
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Authors
Noha A. Mahmoud* 1; Ahmed E. Ahmed1; Omar F. Ali2; Alaa A. Radwan1
1Department of General Surgery, Faculty of Medicine, Sohag University, Sohag, Egypt
2Oncology Center, Faculty of Medicine, Mansoura University, Mansoura, Egypt
Abstract
Background: A level II volume displacement oncoplastic breast surgery method, the round block, and modified round
block procedures entail sufficient tumor removal with a good esthetic result. Peripheral and periareolar lesions are treated
with them. Wide local excision could be carried out with ease and a satisfactory safety margin, and the breast tumor
was excised with a sufficient macroscopic safety margin. The goal of contemporary breast surgery is to treat patients by
repairing and maintaining breast tissue, producing favorable physical and psychological results.
Aim: To evaluate the application of modified and round block procedures in oncoplastic breast surgery for early-stage
breast cancer.
Patients and Methods: Twenty-one patients with breast cancer who were scheduled to have surgery between June 2019
and June 2020 utilizing round block and modified round block procedures were included in the research. Our study’s
sample age ranged from 25 to 61 years old, with an average age of 46.
Results: The mean age is 46 (range, 25–61 years old) and the tumor size ranges from 1 to 4 cm. Inflammation, wound
infection, and gap and local dermatitis are the main postoperative complications and three (14.28%) patients were affected.
All specimens were free safety margins with no recurrence. The cosmetic results are excellent in nearly all patients
(90.47%), except three (14.28%) patients who had good cosmetic results.
Conclusion: Round block and modified round block provide good tumor access and oncological control around the breast
with little scar formation and safety. There were neither subsequent changes in the shape nor the position of the areola.
Keywords
Breast cancer; breast; oncoplastic breast surgery; round block and modified round block mammoplasty
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