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Sci-Afric Journal of Scientific Issues, Research and Essays (SJSIRS)

Sci-Afric Journal of Scientific Issues, Research and Essays Vol.2(12) Pp. 558-562 December 2014 Copyright 2014 Sci-Afric Publishers.

 

A Study of Various Oncoplastic Techniques for Conservative Breast Surgery (Quadrant by Quadrant Technique).
 

1, 2Hamza A*, 2Rietijens M, 1Aboudeba M, 1Hafez A, 1Fayed W, and 1Hamed Y

 

1. General Surgery Department, Medical Research Institute, Alexandria University, Egypt.
2. Division of Plastic Surgery, European Institute of Oncology, Via Ripamonti, 435-20141 Milano, Italy.

 

*Corresponding Author’s E-mail: dralaa.hamza@yahoo.com  

      

Accepted June 04th, 2014.

Abstract

Oncoplastic breast surgeries (OPS) are various depending on the tumor size and site, differing from quadrant to other with different cosmetic out come and side effect. This study evaluates different oncoplastic breast surgery (OPS) used, their complications, cosmetic outcomes and the degree of satisfaction of the patients with these techniques. A prospective study for 50 early breast cancer patients had been operated from May 2012 to January 2013 at the European institute of oncology Milan, Italy and the Medical Research Institute hospital Alexandria, Egypt. Techniques, quadrants, complications and cosmetic outcome had been recorded using qualitative method to the patients and the surgeons and followed up for 12 months after surgery. 50 breast cancer female patients with total 53 breasts were successively followed up for 12 months after finishing the radiotherapy, median tumor specimen weight 72,5 (22-250), tumor size 2,2 (0,7-3), tumor pathology invasive breast cancer 44 breasts (83%), ductal carcinoma in situ 6 breasts (11%) and invasive lobular carcinoma 3 breasts (6%). Techniques used were superior pedicle in 38%, inferior pedicle in 28%, round block in 19%, local glandular flap in 13% and latismus dorsi flap in 2%. With a good cosmetic outcome in 94% of patients, 92% of patients were satisfied with the outcomes and total complication of 13.5%. Cosmetic outcomes of the OPS are very good. Both the patients and the surgeons were satisfied with the techniques. The most common techniques used were the therapeutic reduction mammoplasty. Contralateral breast reduction or mastopexy at the same time ameliorates the symmetrization and cosmetic outcome.


Keywords: Oncoplastic, Breast cancer, Lipofilling, Cosmetic appearance.


 

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