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Subject Area

Surgery

Article Type

Original Study

Abstract

Objectives: To evaluate the use of lateral sulcus mammoplasty as a new oncoplastic technique for laterally located breast cancer as regards feasibility, complications and aesthetic outcome. Background: Breast cancer is the most frequent cancer among women. Radiation therapy followed by breast-conserving surgery has become the primary treatment for breast cancer. Oncoplastic breast surgery (OBS) techniques are used to permit the removal of a larger volume of breast tissue with less distortion, which is easier to repair postoperatively. Methods: This prospective research was conducted on 77 female cases with laterally located breast cancer who were indicated for oncoplastic breast surgery (OBS). All cases were operated on in the supine position and were subjected to imaging assessments, including ultrasound, mammogram, and/or MRI of the breast, Tru-Cut Biopsy, and immunohistochemistry. Neoadjuvant chemotherapy was administered if needed for down staging, and lateral sulcus mammoplasty was performed. Results: The aesthetic results were excellent and satisfactory for all patients. The most frequently encountered complication was numbness followed by seroma formation then surgical site infection. Conclusion: Lateral sulcus mammoplasty is an oncoplastic procedure which enables the removal of laterally located breast masses through a hidden incision in the lateral chest wall so avoiding a scar in the breast itself and achieving excellent cosmetic outcome.

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