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ORIGINAL ARTICLE
Year : 2020  |  Volume : 39  |  Issue : 1  |  Page : 11-22

Evaluation of donut mammoplasty in early breast cancer near to nipple–areola complex


1 Department of General Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt
2 Department of Plastic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt

Correspondence Address:
MD Mahmoud Abdelbaky Mahmoud
Department of General Surgery, Faculty of Medicine, Ain Shams University, Cairo, 55555
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ejs.ejs_52_19

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Background Breast cancer, according to National Cancer Institute, is the most common site of cancer in women in Egypt as it accounts for about 38.8% of total malignancies among Egyptian females; it is an important cause of mortality among women. Objective To focus on donut mammoplasty for management of early breast cancer near to nipple–areola complex (NAC) to assess the technique clinically regarding cosmetic outcome, operative complication, and oncological safety. Patients and methods It was a prospective analytical study that included 25 patients focus on donut mammoplasty for management of early breast cancer near to NAC to assess the technique clinically regarding cosmetic outcome, operative complication, and oncological safety. This study was conducted at Ain Shams University Hospitals and Bahya specialized breast cancer hospitals. Approval of the Ethical Committee and written informed consent from all participants was obtained. Results In our study we addressed donut mammoplasty technique in a prospective study conducted 25 patients that aimed to demonstrate the safety of those techniques and the comparable outcomes as regard preoperative and postoperative prospective. During our follow up period the overall incidence of complications was 12% which is quite similar to the other comparable studies. Conclusion Donut mammoplasty has excellent cosmetic outcome of about 84% of cases of the study, the overall cosmetic outcome of our study was more satisfactory which was reflected on the patient psychological health and self-well-being. It was best applied to small more than large-sized breast with possibly distant tumor from the NAC with the donut mammoplasty technique as it will yield less satisfactory cosmetic outcome. Donut mammoplasty shows low percentage of complications were simple in dealing with no risk in patient’s life. None of the stated complications resulted in delay of postoperative adjuvant therapy.


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