Background
Breast-conserving therapy became the treatment of choice for early breast cancer due to a better understanding of the disease’s biological activity and natural history. With the addition of oncoplastic breast surgery, conservation could be conducted in relatively large tumors with the best possible cosmetic results and without jeopardizing oncological safety. Oncoplastic breast surgery procedures are done by incising the skin envelope of the breast and then dissection of the dermoglandular breast tissue. An inframammary crease incision is a suitable choice as a hidden scar in the breast envelope because one of the primary considerations for good oncoplastic methods is the cosmetic outcome. It also provides easy access to the retromammary region. This study aims to assess the feasibility of adopting the retroglandular approach for breast-conserving surgery by making a skin incision in the inframammary fold.
Patients and methods
This study involved 67 female patients with breast cancer who were candidates for BCS and had tumors deeply seated between January 2019 and July 2021. An incision is made in the inframammary fold, its length depends on the tumor site, and the tumor was excised after retroglandular exploration. Reapproximation of the glandular pillars was done and the wound was closed after a closed suction drain was inserted. SPSS software package, version 20.0, was used for statistical analysis.
Results
All patients were presented with mass, most of them (53.7%) had breast cup size B. Of the cases, 55.3% had their tumor in the lower half of the breast. The median operative time was 125 min (110–140 min). Seroma was the most common complication (8.9% of cases). Of the cases, 62.7% had excellent results as judged by breast surgeons other than the operating surgeon and 82.1% of patients were satisfied with the esthetic results. Conclusion The inframammary approach for breast-conserving surgery is feasible and safe for surgical treatment of patients presented with deeply seated breast cancer.