Oncological and Cosmetic outcome of Oncoplastic breast surgery.

Saleem, Saira; Javed, Farhan; Rehman, Ayesha; Hayat, Nazim; Bano, Nadia; Ahmad, Irshad; Ahmad, Tanvir

doi:10.29309/tpmj/2019.26.12.4186

Cited by 1 publication

(1 citation statement)

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“…In large or multiple benign lesions, like giant fibro adenoma the surgeon is faced with a reconstructive challenge similar to when a large malignant breast neoplasm is removed (Hiller et al, 2018). Oncoplastic breast surgery is an important revolution in breast surgery in which we can perform a wide tumour resection even for large size and poorly located cancers (Saleem et al, 2019). Some of the patients have associated macro mastia.…”

Section: Introductionmentioning

confidence: 99%

Management of Large Size and Multiple Benign Breast Lesions Using Oncoplastic Surgical Skills

Saleem¹,

Javed²,

Ahmad³

2020

MJMR

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Objective: Management of multiple and large size benign breast lesions is challenging. Usual excision techniques are associated with unacceptable breast deformity in such cases. However, these can effectively be managed with minimum breast deformity using oncoplastic skills used for breast cancer. Our objective was to evaluate the oncological outcome and patient satisfaction of managing large and multiple benign breast lesions using oncoplastic surgical skills. Methods: This was a descriptive, prospective study conducted in department of Surgery, Madina Teaching Hospital, Faisalabad, Pakistan from January 2018 to December 2019. Females with age range of 12 to 60 years were included in the study. Different oncoplastic techniques were used depending on location and size of tumour as well as size and degree of breast ptosis.Main outcome measures were tumour recurrence and patient satisfaction with the cosmetic outcome. Results: Twenty-eight female patients with large size (>5cm) or multiple benign breast tumors were managed. Most common techniques used were round block mammoplasty and wise pattern reduction mammoplasty. Giant fibroadenoma (35.7%), benign phyllodes tumour (14%) and ductal hyperplasia (usual 10.7% & atypical 7%) were the most common histological findings. No tumour recurrence was seen during our study period and minimum scarring and no breast deformity in these cases, gained high patient satisfaction. Conclusion: Oncoplastic skills achievefavourable aesthetic and oncological results for large and multiple benign breast tumours.

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Section: Introductionmentioning

confidence: 99%