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Subject Area

General Surgery

Article Type

Original Study

Abstract

Objective To present a new technique to reconstruct the lower-quadrant breast cancer excision defects with superior pedicle-reduction mammoplasty reshaping in order to obtain a satisfactory esthetic outcome together with a safe oncological outcome. Background The application of oncoplastic surgery into breast-conservation surgery affords many procedural options to achieve the acceptable esthetic results as well as oncological safety outcome. Lower-quadrant breast cancer radical excision with a high satisfactory esthetic outcome represents a challenge for breast surgeons. Patients and methods During the period from May 2018 to March 2021, 23 patients with a lower quadrant's breast cancer were operated. Postoperative complications, resection margins, and cosmetic outcome were assessed. Results At a mean follow-up of 12 months, the complication rate was 17.39% (two cellulitis and two margin-skin necrosis). Surgical margins of resection were negative in all cases. The overall satisfaction was considered excellent in 21 (91.3%) patients, good in two (8.69%) patients, and fair in one (4.34%) patient. Conclusions This technique represents a good solution for the reshaping that is needed following lower-quadrant breast cancer as regards oncological safety outcome and excellent cosmetic results.

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