Evaluation of Oncoplastic approaches for early breast cancer located at the upper outer quadrant

Abstract

The goal of modern breast surgery is to cure patients with preservation of breast tissue as much as possible with satisfactory physical and psychological outcome. This goal has led to introduction of a new scope of surgery into our clinical practice called oncoplastic breast surgery, with the advantage of combining oncological safety and satisfactory cosmetic outcome. There are two fundamental different approaches for oncoplastic surgery dedicated for breast cancers at the upper outer quadrant. First are the volume displacement techniques, second are volume replacement techniques. Volume displacement techniques include donut mammoplasty, lateral mammoplasty and radial segmentectomy. In our study we addressed the three oncoplastic volume displacement techniques in a prospective study conducted over 30 patients that aimed to demonstrate the safety of those techniques and the comparable outcomes as regard pre and post-operative prospectives. Donut mammoplasty had the highest cosmetic outcome score for the incision being obscured at the periareolar transitional zone. It was best applied to small sized breast (Cup A,B and C), however we don’t recommend to approach a large sized breast with possibly distant tumor from the NAC with the donut mammoplasty technique as it will yield less satisfactory cosmetic outcome due to more dissection and hence depression of the breast mound. It had an average intra-and post-operativ