Oncoplastic Techniques for Surgical Management of Inner Half Breast Cancer

For decades women with breast cancer were offered two surgical options: small lesions were treated with lumpectomy and radiotherapy (breast conserving therapy) and large tumors by mastectomy. Oncoplastic surgery (OPS) has emerged with the concept of applying plastic reconstructive techniques to reshape the breast after ‎conservative resection‎ to allow wide excision without compromising the natural shape of the breast. In the current study 60 female patients with operable breast cancer in inner half fit for BCS (T1&T2) were treated by various oncoplastic techniques. The mean age was 44.40 ± 9.83 years, 15 patients had lower inner quadrant tumors (25.0%), 45 patients (75%) had upper inner tumors. Round block technique was used in 18 cases (30.0%), level I oncoplastic technique in 9 cases (15%), superior pedicle reduction mammoplasty in 6 case (10%), inferior pedicle reduction mammoplasty in 6 cases (10%), v mammoplasty in 6 case (10%), volume replacement by mini LD flap in 6 cases (10%), fish hook rotational flap in 3 case (5%) and batwing mastopexy in 3 case (5%). The rate of complications was 20% and patients’ satisfaction score was 4.2 ± 0.87. Local re‌currence rate was 3.3 % in 24 months follow-up period.