Oncoplastic Surgery for Laterally Located Breast Cancer: A New Approach

Haytham Fayed M1*, Mohammed Sharaan2, Ahmed Gebaly A1 and Mohammed Asal F1

1Surgical Oncology Unit, Alexandria University, Alexandria, Egypt
2Hepatobiliary Unit, Alexandria University, Alexandria, Egypt

^*Correspondance to: Haytham Fayed M 

 PDF  Full Text DOI: 10.25107/2474-1647.2790

Abstract

Background and Objectives: The aesthetic results of BCS were not satisfying in some challenging scenarios. Breast cancer in the Upper Outer Quadrant (UOQ) of the breast can be excised safely without causing deformity except when more than 20% of breast tissue is removed. In such case, the skin is retracted and the Nipple- Areola Complex (NAC) is pulled towards the incision site. Planning the incision location is an essential step in oncoplastic breast surgery. Visible scarring can be minimized by locating the incision in natural anatomical boundaries like nipple areolar border, the inframammary fold or axilla fossa. Methods: This study had been conducted on 122 female patients with breast cancer who were suitable for BCS and having tumors laterally located. A skin incision was placed in the lateral mammary sulcus; the mass is removed with dissection of two planes to facilitate closure of the defect by either adipofascial or glandular flap. Results: The aesthetic results were excellent and satisfactory for all patients. The most frequently encountered complication was surgical site infection followed by seroma formation and fat necrosis. Conclusion: Lateral sulcus oncoplastic approach is an oncologically and aesthetically accepted option for managing patients presented by later located early breast cancer.

Keywords

BCS; UOQ; Oncoplastic surgery; Breast cancer

Cite the article

Haytham Fayed M, Sharaan M, Ahmed Gebaly A, Mohammed Asal F. Oncoplastic Surgery for Laterally Located Breast Cancer: A New Approach. Clin Surg. 2020; 5: 2790..