Outcome of different oncoplastic surgical (OPs)‎ techniques for centrally located breast cancer (CLBC)‎

Abstract EN

Background : Oncoplastic breast surgery is a standard treatment of early breast cancer, offering a balance between good cosmetic outcome and limited risk of locoregional recurrence, by enabling proper resection margins.

Aim of study : To present multiple techniques of partial breast reconstruction following the resection of centrally located breast cancer (CLBC) resection.

Patients and methods : From January 2011 to August 2014, 21 patients underwent central quadrantectomy for carcinoma of the central region of the breast.

Excisions included the nipple / areola complex, in most of the cases, down to the pectoralis fascia with a wide safety margin, and proper axillary management.

Oncoplastic approaches included latissimus dorsi flap, inferior pedicle flap, Melon slice, Grisotti and round block techniques.

Results : Mean age of patients was 49.5 ± 10.61 years.

Tumor size ranged from 1.5 to 4.5 cm.

Postoperative pathology revealed a tumor mean safety margin of 2.5 ± 0.83 cm, with positive axillary lymph nodes in 15 (75.0 %) patients.

Nineteen (95.0 %) patients received postoperative breast radiotherapy, while 9 / 20 (45.0 %) and 3 / 20 (15.0 %) received adjuvant chemotherapy or hormonal therapy, respectively, and only 8 / 20 (40.0 %) patients received both therapies.

During a median follow- up period of 14.89 months, neither local nor distant metastasis, were detected.

The postoperative cosmetic result evaluated by the patients was excellent in 6 / 20 patients (30.0 %), good in 11 / 20 patients (55.0 %), fair in 3 / 20 (15.0 %) with neither poor nor bad results, with an overall mean of 4.0 ± 0.5 equivalent to 80 % satisfaction.

Conclusion : Multiple oncoplastic breast surgery techniques can be used for the resection of CLBC with satisfying cosmetic outcomes.