A new oncoplastic technique for removal of centrally located malignant tumors and reconstruction by a local dermo-glandular flap in conservative breast surgery

Article type: Research Article

Authors: Ahmed, Yasser S.^a | Abd El Maksoud, Walid M.^b; | Sultan, Mohamed Hussein^a

Affiliations: [a] Experimental Surgery Department, Medical Research Institute, Alexandria University, Alexandria, Egypt | [b] General Surgery Department, Faculty of Medicine, King Khalid University, Abha, Saudi Arabia

Correspondence: [*] Corresponding author: Dr. Walid Abd El Maksoud, Associate Professor, General Surgery Department, Faculty of Medicine, King Khalid University, Abha 61421, P.O.: 641, Saudi Arabia. Tel.: +966 543128555; E-mail: wabdulmksoud@kku.edu.sa. ORCIDs: https://orcid.org/0000-0002-2861-6611 (W.M. Abd El Maksoud); https://orcid.org/0000-0002-5198-2417 (Y.S. Ahmed)

Abstract: AIM:To evaluate the local dermo-glandular flap as a new reconstructive oncoplastic technique after removal of central malignant tumors of the breast, in terms of patient satisfaction and local recurrence. PATIENTS AND METHODS:This study included 60 females with centrally located breast cancer who underwent central quadrantectomy and local dermo-glandular flap with either sentinel lymph node biopsy or axillary clearance. RESULTS:The mean age of the patients was 49.68 ± 8.52 years. The duration of the operation ranged from 68–105 minutes, with a mean of 79.77 ± 9.41 minutes. Local recurrence was observed in three patients (5.00%) with no distant metastasis. Forty-seven patients (78.33%) reported satisfaction after the operation. Ugly scarring and the existence of tissue defects were the main factors affecting patient satisfaction. Correction of these complications increased overall satisfaction to 88.33%. CONCLUSIONS:For small- and medium-sized breasts, the use of a local dermo-glandular flap for the management of centrally located malignant tumors seems to be a simple and easy technique with good oncological outcomes and acceptable few minor complications. This technique offers an immediate reconstruction of a new areola with fewer scars that will be hidden later after areola tattooing. Most of the patients reported satisfaction three months after areola reconstruction.

Keywords: Breast cancer, conservative breast surgery, dermo-glandular flap

DOI: 10.3233/BD-210067

Journal: Breast Disease, vol. 41, no. 1, pp. 175-185, 2022