الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
 |  | from | 62 |  |  |
| | | from | 62 | | |
Abstract
The breast serves not only as a utilitarian organ, but also as a symbolic representation of motherhood, femininity, and sexuality, hence assuming a significant role within the female anatomy. Hence, it is imperative to take into account how breast surgery affects a person’s self-image.
Breast-conserving therapy (BCT) is the preferred approach for treating early-stage breast cancer, offering comparable survival rates along with aesthetic, functional, and psychosocial benefits when contrasted with mastectomy.
Level I oncoplastic breast surgery (OPS) techniques are used when less than 20% of the breast volume is removed and no mammoplasty is required to reshape the breast. These techniques involve moving or rotating glandular flaps to fill the excised area
The aim of the study is to assess the efficacy and oncologic outcome of using glandular flap in oncoplastic cancer breast surgery as regards to safety, cosmetic effect and postoperative complications.
Thirty female’s patients with early breast cancer, mean age of 50 years were admitted to the Surgical Oncology Unit, Alexandria Main University Hospital, for oncoplastic breast conserving surgery level 1. Patient’s tumor size ranged from 1.40 to 3.00 cm and all location was included.
Perioperative, definitive pathology confirmed free margins in all cases and 4 patients (13.33%) were positive with sentinel LN and underwent complete axillary clearance.
Post-operative, 4 patients has developed complications which are two seromas, one infection and one wound dehiscence and all cases were treated conservatively with success.
The cosmetic outcome was assessed by both surgeons and patients during 3 months of follow up. According to surgeons’ assessment, excellent results was 65.99%, good results 26.67%, while 7.33% showed fair results. According to patients’ satisfaction, 27 patients (90%) were satisfied with their results while 3 patients (10%) were not satisfied.
The study demonstrated that oncoplastic breast conserving surgery using glandular flap reduce the rate of post-lumpectomy deformity and the cosmetic outcome remains consistently high. This appears to be indicative of a satisfactory cosmetic result in terms of patient perception. Complications are less common with technique using glandular flap and can lead to patient dissatisfaction.