A prospective study for superior medial technique as an oncoplastic procedure for lower and outer quadrant breast cancer: oncological safety and clinical outcomes

Background
Breast cancer is the most common site of cancer in women in Egypt as it accounts for ∼38.8% of total malignancies among Egyptian women; it is an important cause of mortality among women. For many women with early-stage breast cancer, a combination of partial mastectomy and radiation therapy − together referred to as breast-conserving therapy − is preferable to total mastectomy.
Objective
To focus on superior medial technique as an oncoplastic procedure for the management of breast cancer and to assess the technique clinically regarding oncological safety, surgical outcomes, and patient satisfaction.
Patients and methods
It was a prospective, analytical study that included 20 patients aiming to assess clinically the superior medial oncoplastic technique for lower and outer quadrant breast cancer regarding oncological safety and patient satisfaction. This study was conducted at Bahya Specialized Breast Cancer Hospital and Ain Shams University Hospitals.
Results
All the 20 patients underwent oncoplastic breast surgery which implied two major technical steps, excision of the tumor with a wide safety margin through a predesigned incision with frozen section examination for margins along with formal axillary dissection, followed by immediate reconstruction using superior medial technique. Breast cancer, like other cancers, occurs because of an interaction between an environmental (external) factor and a genetically susceptible host. Normal cells divide as many times as needed and stop. They attach to other cells and stay in place in tissues. Cells become cancerous when they lose their ability to stop dividing, to attach to other cells, to stay where they belong, and to die at the proper time.
Conclusion
This approach has enabled us to increase the number and extend the indications of breast-conserving surgery with wider margins offering safer oncologic control with more satisfactory cosmetic outcome.