Early Outcomes of Modified Round Block Technique for Early Stage of Upper Outer Quadrant Breast Cancer

Document Type : Original Article

Authors

Department of General Surgery, Faculty of Medicine, Benha University, Benha, Egypt.

Abstract

Background: The standard treatment for early breast cancer (BC) is breast-conserving surgery (BCS). The primary objective of BCS is controlling cancer as effectively as mastectomy and to achieve cosmetic results that are acceptable to patients. We aimed to evaluate the early outcomes of modified round block technique (MRBT) for early stage of upper outer quadrant BC.
Methods: This cross-sectional study was conducted on 20 females undergoing MRBT surgery for early stage of upper outer quadrant BC at General Surgery Department at Benha University Hospital. All patients underwent thorough general and local examination via inspection, palpation and examination of lymph nodes, routine laboratory investigation and Sonomammographic evaluation.
Results: The surgeons’ assessment showed that eighteen (90%) patients had excellent outcome and two (10%) patients had good outcome. Concerning the patients’ satisfaction, 17 (85%) patients had brilliant outcome, and three (15%) patients had good outcome. 18 (90%) cases showed good scar, 2 (10%) cases presented with fair scar, 2 (10%) cases showed areola enlargement, 6 (30%) presented with good symmetry, whereas 14 (70%) cases showed excellent symmetry, 18 (90%) cases presented with a defined and symmetrical inframammary fold, while 2 (10%) cases presented with a defined and asymmetrical inframammary fold. 1 (5%) patients had skin retraction and breast fibrosis, while did not occur in 19 (95%) patients.
Conclusions: MRBT had obtained a satisfactory outcome of cosmetic, surgeon and satisfaction of patient, and less incidence of postoperative complications.

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