Assessment of Different Oncoplastic Techniques in The Management of Centrally Located Breast Cancer

Document Type : Original Article

Authors

1 Department of General Surgery, Kafr El Dawwar General Hospital, Kafr El Dawwar, Egypt

2 Department of General Surgery, Faculty of Medicine, Alexandria University, Alexandria, Egypt

10.21608/ejsur.2025.354991.1365

Abstract

Background: Centrally located breast cancer poses unique challenges due to its proximity to the nipple–areola complex,
impacting both oncological safety and cosmetic outcomes. This study evaluates the efficacy of various oncoplastic
surgical techniques in achieving optimal oncological and esthetic results.
Patients and Methods: A prospective study was conducted on 40 female patients with stage I or II centrally located
breast cancer at Alexandria Main University Hospital. Patients underwent tailored oncoplastic surgeries, including
Grisotti mastopexy, anterior intercostal artery perforator flap, central quadrantectomy, crescent mastopexy, and batwing
resections. Outcomes were assessed through oncological measures (surgical margins, local recurrence) and cosmetic
evaluations (BREAST-Q and Harris scale).
Results: Clear surgical margins were achieved in 100% of cases. No local recurrences were reported during followup.
Cosmetic outcomes were highly satisfactory, with 85% scoring above 8 on the Harris scale and 92% reporting
improvements in body image via the BREAST-Q. Complications were minimal, with flap necrosis in 5% and seroma
formation in 10% of cases, and no delays in adjuvant therapy initiation. The anterior intercostal artery perforator flap and
Grisotti mastopexy provided the best cosmetic outcomes.
Conclusion: Oncoplastic techniques effectively balance oncological safety with superior esthetic results, significantly
enhancing patient satisfaction and psychological well-being. These findings emphasize the need for individualized
surgical approaches in centrally located breast cancer management.

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