Oncoplastic Volume Displacement Approaches in Breast-Conserving Surgical Procedures for Breast Cancer Patients

Hussein, Hamdy Mohamed; Ali, Omar Farouk; Omar, Mohammed Ahmed; Mousa, Hamdy Hamed

doi:10.21608/svuijm.2024.329271.1997

Oncoplastic Volume Displacement Approaches in Breast-Conserving Surgical Procedures for Breast Cancer Patients

Document Type : Original research articles

Authors

¹ General Surgery Department, Faculty of Medicine, Luxor University, Luxor, Egypt.

² General Surgery Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.

³ General Surgery Department, Faculty of Medicine, South Valley University, Qena, Egypt.

10.21608/svuijm.2024.329271.1997

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.

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