Background
Breast-conserving surgery (BCS) has better cosmetic outcome over mastectomy without interfering with the oncological outcome. Wide local excision of a lateral breast mass may lead to disfigurement of the final shape and symmetry with lateralization of the nipple–areola complex.
Patients and methods
Between March 2017 and March 2019, 40 cases with lateral breast tumors were divided sequentially into two groups; group A had conventional BCS, while group B had BCS with the B-plasty technique.
Results
The mean age of group A cases was 47.9±9.1 years while in group B, it was 48.8±14.2 years. The mean tumor size in group A was 2.2±0.94 cm, while in group B it was 2±0.83 cm with no statistically significant difference between two groups as regards age and tumor size. We reported wound seroma in eight (40%) cases in group A and one (5%) case in group B. The postoperative cosmetic score was good in seven (35%) cases in group A while in group B, it was good in 15 (85%) cases with statistically significant difference between both groups in favor of group B as regards wound seroma and cosmetic outcome.
Conclusions
B-plasty is a simple approach for lateral breast tumor with safe oncological and satisfactory aesthetic outcomes.