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177841

A Study of the Outcome of the Latero-Central Glandular Pedicle Technique as an Oncoplastic Procedure for Medial Quadrants Breast Masses

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Last updated: 23 Jan 2023

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Abstract

Background: Numerous oncoplastic procedures are now available for treatment of breast cancer. Oncoplastic procedures had expanded the spectrum of breast conservative surgery. It is difficult to plan for resection of medial breast tumors as the scars are apparent and deformity is so eminent. The aim of the work is to assess the latero- central glandular pedicle technique as an oncoplastic procedure for treatment of medial quadrant breast cancer as regard oncological safety, surgical outcomes and patient satisfaction.  Patients and method: This study included 15 female patients with a mean age of 43 years (20-60 years) and with invasive breast cancer at upper and lower medial quadrants. They were treated by wide in excision with safety margin followed by reconstruction of defects using latero-central glandular pedicle technique. The patients were followed for 6 months for postoperative complications and cosmetic outcome.  Result: In our study the mean age of the 15 patients was 43 years (20-60 years). 60% of the breast tumors were in the upper inner quadrant and 40% of them were in the lower inner quadrant. The largest tumor size was 3.2 cms, the smallest one was 1cm and the mean tumor size was 2 cms±0.47. The mean breast cup size for the whole study was 4.33±1.56 which stand for D. Our mean operation time was 107±14.50 minutes (1 hour and 45 minutes). The longest post-operative stay period was 3 days. The postoperative complications occurred three cases (20%) in the form of: 2 cases(13%) of wound infection and 1case (7%) of stitch sinus . none of the patients had recurrence during postoperative follow up period of six months duration.as regard the cosmetic outcome which was estimated via a score system graded from one to five, The overall mean score of our study was 4.23±0.86 which falls between very good and excellent.  Conclusion: The latero-central glandular pedicle technique is an oncoplastic procedure for treatment of medial quadrant breast cancer with main advantages of low rate of postoperative complications and better cosmetic outcome.

DOI

10.21608/asjs.2019.177841

Keywords

Nipple-areola complex (NAC), Multidisciplinary team (MDT)

Authors

First Name

Rania

Last Name

ELahmady

MiddleName

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Affiliation

Department of General Surgery, Ain Shams University, Egypt

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City

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Orcid

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First Name

Ahmed

Last Name

Gamal Eldin

MiddleName

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Affiliation

Department of General Surgery, Ain Shams University, Egypt

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City

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Orcid

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First Name

M.A.

Last Name

Marzouk

MiddleName

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Affiliation

Department of General Surgery, Ain Shams University, Egypt

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Volume

12

Article Issue

2

Related Issue

25666

Issue Date

2019-07-01

Receive Date

2021-06-15

Publish Date

2019-07-01

Page Start

97

Page End

103

Print ISSN

2090-7249

Link

https://asjs.journals.ekb.eg/article_177841.html

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https://asjs.journals.ekb.eg/service?article_code=177841

Order

2

Type

Original Article

Type Code

1,943

Publication Type

Journal

Publication Title

Ain Shams Journal of Surgery

Publication Link

https://asjs.journals.ekb.eg/

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Article

Created At

23 Jan 2023