Round Block Technique versus Reduction Mammoplasty in Treatment of Early Breast Cancer

Background: The majority of individuals who are diagnosed with breast cancer today have early breast cancer, which is characterized as having a mobile tumor within the breast with or without corresponding movable enlarged lymph nodes. The purpose of breast-conserving therapy (BCT), which has become the accepted standard of care for early-stage breast cancer, is to offer a benefit of a preserved breast together with a treatment that is just as successful as mastectomy.
Aims: The study compares the use of reduction mammography and round block method in the treatment of early-stage breast cancer.
Methodology: Thirty patients with an early diagnosis of breast cancer (T1 or T2, N0 or N1, M0) who were hospitalized to Ain Shams University Hospitals participated in this prospective controlled clinical trial. The patients were split into two groups: Group I: There are fifteen patients in this group who are in the early stages of breast cancer (T1 or T2, N0 or N1, MO). Group II: This group consists of fifteen patients (T1 or T2, N0 or N1, MO) with early-stage breast cancer.
Results: In our study, there was no significant statistical difference between the two groups regarding patient’s age, family history and side of the lesion.
There was a significant difference, between the two groups as regard: Intraoperative blood loss, intraoperative time,hospital stay, postoperative complication and cosmetic outcome
Conclusion: Patients with early-stage breast cancer who have medium-sized breasts and no significant ptosis are candidates for both reduction mammoplasty and round block technique. Round block technique is better for these patients because it requires less experience from the surgeon and has fewer complications, which means radiation therapy won't be delayed, better cosmesis, and typically doesn't require contralateral breast surgery for symmetrization