Publication: Simple Oncoplastic Breast Conserving Surgery for Breast Cancer in a University Hospital
Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
The principle of oncoplastic surgery is the removal of tumors with negative margins
as well as maintaining the contour of the breast. The goals are to achieve local control
and best cosmesis.
Objective
The objective of this study was to assess patients’ satisfaction with different
techniques of simple oncoplastic breast conserving surgery (BCS) for early breast
cancer.
Method
This was a retrospective study of early breast cancer cases operated during the period
2009 to 2017. All the patients were under regular follow up for at least five years
after surgery. Original Harvard/NSABP/RTOG scale was used to evaluate cosmesis at
one year after surgery.
Result
Median age of the patients was 43 years with median size of tumor being 2.5 cm.
All of the patients had good to excellent cosmetic outcome. One patient (4.5%) had
margin positivity. All patients were disease free and happy with the cosmesis at five
years although one patient did not have whole breast radiotherapy.
Conclusion
Simple oncoplastic breast conserving surgery techniques in upper part of breast are
simple, feasible and improve cosmetic outcome with low margin positivity and good
disease-free five-year survival.
KEY WORDS
Breast cancer, Breast conserving surgery, Mammaplasty
Description
Khanal S,1 Singh N,2 Singh YP3
1Department of Surgical Oncology
BP Koirala Memorial Cancer Hospital
Bharatpur, Chitwan, Nepal
2Cancer Research Associate
Nepal Cancer Education Foundation, Tokha-4
Dhapasi, Kathmandu, Nepal
3Department of Surgery (Surgical Oncology)
Tribhuvan University Teaching Hospital
Kathmandu, Nepal
Keywords
Breast cancer, Breast conserving surgery, Mammaplasty