Oncoplastic Techniques for Early Upper Inner Quadrant Breast Cancer; a Comparative study between Inferior Pedicle Mammaplasty and Doughnut Mastopexy

Abstract

reast conserving treatment (BCT) has become the standard treatment in early breast cancer; its goal is to provide a treatment as effective as mastectomy with the added benefit of a preserved breast. However, it is sometimes difficult to achieve good cosmetic results, particularly in patients with breast cancer located in the upper inner quadrant, for which the traditional conservative surgery results in a deformed breast. Oncoplastic breast conserving surgery (OBCS), which combines a plastic surgical procedure with BCT, is the surgical approach that extends the role of BCS and allows wide excisions as well as having the potential to improve the aesthetic outcome of BCS and preventing breast deformities. In our study we compared between Doughnut mastopexy and Inferior pedicle mammaplasty in treatment of early breast cancer located in the upper inner quadrant. We found that there is no significant difference between the two groups as regards the age of the patients, their family history, comorbidities, the size of the tumor and its distance from NAC. On the other hand, there is significant difference between the two groups as regards the operative time, intraoperative blood loss, hospital stay, total drainage volume, drainage days, postoperative complications, cosmetic outcome and the need for contralateral symmetrization.