Background: Surgical management of breast cancer has evolved significantly over the years, trending away from radical procedures, and moving toward those with complete resection of tumor while preserving the normal parenchyma tissue thereby decreasing patient morbidity. This shift has allowed for improved aesthetic outcomes and quality of life for patients, while maintaining equivalent oncologic safety. The aim of this study was to assess the cosmetic and oncological outcome of different oncoplastic techniques in female patients with early centrally located breast cancer. Methods: This study included 40 female patients with CLBC that were treated at the General Surgery department Benha university hospital using four oncoplastic techniques, from August 2020 to November 2021. Patients were divided into 4 groups according to operation type: Group I : Grisotti technique (n=10) Group II : Melon slice technique (n=10) Group III : Donut technique (n=10) Group IV : Batwing mastopexy technique (n=10). Results: Cosmetic results are assessed by dividing techniques to NAC involvement operations and NAC preserved operations. Group I and II (NAC removal operations) showed a statistically significant difference in patient satisfaction between Grisotti technique which shows better results (7 excellent cases, 2 good and 1 fair) and Melon slice technique which shows (only one excellent cases , 5 good and 4 fair) (p=0.0225). Group III and IV (NAC preserved operations) showed no statistically significant difference as Donut technique shows (8 excellent, one good and one fair cases) while Batwing mastopexy technique shows (7 excellent, 2 good and one fair cases). Conclusion: Oncoplastic breast surgery techniques are safe and effective and can be used to reconstruct the central quadrant after resection of CLBC with reasonable cosmetic outcomes which improvs patient satisfaction. |
