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العنوان
Evaluation of Oncoplastic approaches for early breast cancer located at the upper outer quadrant/
المؤلف
Hafez,Ramy Fouad
هيئة الاعداد
باحث / رامي فؤاد حافظ
مشرف / اسماعيل عبد الحكيم قطب
مشرف / اسماعيل عبد الحكيم قطب
مشرف / أحمد جمال الدين عثمان
مشرف / شريف محمد محسن اسماعيل
تاريخ النشر
2017
عدد الصفحات
180.p:
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
جراحة
تاريخ الإجازة
1/1/2017
مكان الإجازة
جامعة عين شمس - كلية الطب - General Surgery
الفهرس
Only 14 pages are availabe for public view

from 180

from 180

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