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Year : 2018  |  Volume : 37  |  Issue : 2  |  Page : 256-259

Evaluation of the round block technique in early breast cancer

1 Department of General Surgery, Faculty of Medicine, Minofiya University, Minofiya, Egypt
2 Department of General Surgery and Surgical Oncology, Faculty of Medicine, Minofiya University, Minofiya, Egypt

Correspondence Address:
Sherif M Akram
Department of General Surgery, Minofiya University, Minofiya, 33604
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ejs.ejs_17_18

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Introduction Conservative surgery has become a well-established alternative to mastectomy in the treatment of breast cancer. However, in case of larger lesions or small-sized breasts, the removal of adequate volumes of breast tissue to achieve tumor-free margins and reducing the risk of local relapse may compromise the cosmetic outcome, causing unpleasant results. To address this issue, surgical techniques, the so-called oncoplastic techniques, have been introduced in recent years to optimize the efficacy of conservative surgery in terms of both local control and cosmetic results. Patients and methods A Clinical Interventional descriptive single arm randomized prospective study, conducted on twenty female patients presenting with operable breast cancer stages 1 and 2 located at the Upper or Central breast. Ages ranging 25 to 75 years to be treated using the “round block” technique. Results Cosmetic results were found to be excellent in three cases, good in eight cases, fair in five cases, and poor in two cases. In this study, the cosmetic results were unacceptable (fair and poor) in patients who underwent 25% resection or in whom the resected area was part of the lower portion of the breast. Conclusion These techniques are useful for performing breast-conserving surgery in the upper portion of the breast. However, if the excision volume is greater than 20% or excision of part of the lower portion of the breast is required, other procedures should be considered. This article discusses the indications, advantages, and limitations of the round block breast-conserving oncoplastic techniques and its results in terms of feasibility, maintaining breast esthetics, limitations, and early complications.

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