Conservative breast surgery has become the standard
treatment of early stages breast cancer as it provides the same
oncological safety as the classic mastectomy, but in many
cases, this led to marked breast deformity especially when
the resected mass is large or the mass is located in difficult
areas as the upper inner breast quadrant.
Objective: This study aims to evaluate the oncological
and aesthetic outcome of the therapeutic mammoplasty in
treating breast cancers located in the upper breast quadrants.
Patients and Methods: Oncoplastic excision of breast
cancer by doing bilateral inferior pedicle mammoplasty was
performed on 50 patients in Assiut University Hospital between
2016 and 2020. This study was performed on patients with
early-stage breast cancer located in the upper inner or outer
breast quadrants including those who received neoadjuvant
chemotherapy. Evaluation of the short-term surgical outcomes
including hospital stay, complications, and symmetrization
was done. Patient satisfaction and recurrence were also
assessed.
Results: A total of 50 patients were included in the study.
The mean age was 48.7 years and the tumors were located in
the upper outer quadrant, upper inner quadrant, and upper
breast pole in 35, 8, and 7 patients respectively. The mean
operative time was 3.2 hours. Only 12% of patients showed
early complications in form of seroma and wound dehiscence.
90% of the patients showed good symmetry and only 10%
showed fair symmetry in the last follow-up (18 months postoperative).
94% of our patients were highly satisfied with the
aesthetic outcome. We didn't report any recurrence.
Conclusion: This study shows that oncoplastic breast
surgery, as the therapeutic mammoplasty, for breast cancers
in the upper breast quadrants can achieve equivalent oncological
results as the classic breast conservative surgery with
advantageous cosmetic outcome and breasts symmetry especially
the inferior pedicle mammoplasty technique which led
to much better patients' satisfaction than the conventional
conservative surgeries.