الفهرس | Only 14 pages are availabe for public view |
Abstract BACKGROUND: Support for the oncological safety of oncoplastic breast conservation surgery (OBCS) is mostly based on evidence comparing recurrence rates after OBCS to wide local excision (WLE). However, OBCS is often indicated for larger cancers and oncological results should also be compared to patients treated with mastectomy. Upper outer quadrant is the most common site for breast cancer in females. In this study we compared the outcome of different oncoplastic techniques dedicated for breast cancer at the upper outer quadrant. METHODS: Patients treated with OBCS between 2014 and 2017 were identified from a prospectively maintained database. For comparison, 30 patients were operated by the different OPS with three major techniques, Donut mammoplasty, lateral mammoplasty and radial mammoplasty. RESULTS: Our overall cosmetic outcome was 4.23 which is excellent and patient satisfaction was high. The oncological safety was similar to that of BCS and complications rate is similar also. The donut mammoplasty had the best cosmetic outcome and the least intraoperative and post operative complications. CONCLUSION: OPS is a safe alternative for conventional BCS. Donut mammoplasty has the best cosmetic outcome and symmetry. KEYWORDS Breast conserving surgery, Oncoplastic surgery, breast cancer, donut mammoplasty, radial mammoplasty, lateral mammoplasty, cosmetic outcome, oncologic safety |