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12735

A prospective study of the latero-central glandular pedicle technique as an oncoplastic procedure for medial quadrants breast masses:oncological safety and clinical outcomes

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Last updated: 24 Dec 2024

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Abstract

Background: breast cancer, according to national cancer institute, is the most common site of cancer in women in Egypt as it accounts for about 38.8% of total malignancies among Egyptian females; it is an important cause of mortality among women. For many women with stage 1 or 2 breast cancer, the combination of partial mastectomy and radiation therapy – together referred to as breast- conserving therapy is preferable to total mastectomy because breast conserving surgery survival rates is equivalent to those after mastectomy while preserving the breast. Aim of the work: this study aimed to focus on the latero-central glandular pedicle technique as an oncoplastic procedure for management of medial breast cancer and to assess the technique clinically regarding oncological safety, surgical outcomes and patient satisfaction. Methods: this was a prospective analytical study that included 15 patients aiming to clinically assess the centro-lateral oncoplastic technique for both inner quadrants of breast cancer regarding oncological safety and patient satisfaction. This study was conducted at Ain-Shams University Hospitals. Approval of the Ethical Committee and written informed consent from all participants was obtained. Results: in our study we were able to conduct an excellent cosmetic outcome for a relatively large tumor excisions with 66% of the cases (10 patients) falling in excellent and very good score groups with mean cosmetic outcome score 4.26. Another 20% (3 cases) which fall in good and fair score groups as those two patients noticed asymmetry of the two breasts in front of the mirror as they refused bilateral breast reduction mastopexy. None of our cases have had a poor or an ugly score. Conclusion: the combination of plastic surgery techniques with breast oncology surgery gives the surgeon a new tool for treatment of breast cancer. This approach has enabled us to increase the number and extend the indications of breast conserving surgery with wider margins offering safer oncologic control with more satisfactory cosmetic outcome.  

DOI

10.21608/ejhm.2018.12735

Authors

First Name

Ayman Ahmed

Last Name

Talaat

MiddleName

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Affiliation

General Surgery Department, Faculty of Medicine, Ain Shams University

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First Name

Ahmad Gamal El Din

Last Name

Osman

MiddleName

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Affiliation

General Surgery Department, Faculty of Medicine, Ain Shams University

Email

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City

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Orcid

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First Name

Niveen Fathy

Last Name

Al Mahmoudy

MiddleName

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Affiliation

General Surgery Department, Faculty of Medicine, Ain Shams University

Email

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City

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Orcid

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First Name

Mohammed Mostafa

Last Name

Ali

MiddleName

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Affiliation

General Surgery Department, Faculty of Medicine, Ain Shams University

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Volume

73

Article Issue

2

Related Issue

2209

Issue Date

2018-10-01

Receive Date

2018-09-05

Publish Date

2018-10-01

Page Start

6,143

Page End

6,148

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_12735.html

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https://ejhm.journals.ekb.eg/service?article_code=12735

Order

26

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

A prospective study of the latero-central glandular pedicle technique as an oncoplastic procedure for medial quadrants breast masses:oncological safety and clinical outcomes

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Article

Created At

22 Jan 2023