Feasibility of axillary nodal staging through same incision of round block technique in breast cancer cases

Abstract

Background: Round block technique was originally described as a mastopexy technique that is currently widely used as an oncoplastic technique for managing breast cancer. The aim of the study is to assess the feasibility of axillary dissection via same circumareolar incision of lumpectomy. Methods: A prospective randomized controlled study including 100 patients distributed among 2 equal groups. In which group A had axillary dissection performed via same lumpectomy incision by the aid of lighted retractors; while on the other hand group B had axillary dissection performed via separate axillary incision. Results: The technique was feasible in all cases without the need for extra incisions. However, the time of surgery was longer and rate of complications was higher. Conclusions: Axillary staging can be accomplished via same incision of round block. The surgery is demanding especially in large breast cup size and fatty breasts.