• A Moustafa and I Fakhr.
• Surgical Oncology Department, National Cancer Institute (NCI), Cairo University, Egypt.
• J Egypt Natl Canc Inst. 2014 Dec 1; 26 (4): 203-9.

BackgroundOncoplastic breast surgery is a standard treatment of early breast cancer, offering a balance between good cosmetic outcome and limited risk of locoregional recurrence, by enabling proper resection margins.Aim Of StudyTo present multiple techniques of partial breast reconstruction following the resection of centrally located breast cancer (CLBC) resection.Patients And MethodsFrom January 2011 to August 2014, 21 patients underwent central quadrantectomy for carcinoma of the central region of the breast. Excisions included the nipple/areola complex, in most of the cases, down to the pectoralis fascia with a wide safety margin, and proper axillary management. Oncoplastic approaches included latissimus dorsi flap, inferior pedicle flap, Melon slice, Grisotti and round block techniques.ResultsMean age of patients was 49.5±10.61 years. Tumor size ranged from 1.5 to 4.5 cm. Postoperative pathology revealed a tumor mean safety margin of 2.5±0.83 cm, with positive axillary lymph nodes in 15 (75.0%) patients. Nineteen (95.0%) patients received postoperative breast radiotherapy, while 9/20 (45.0%) and 3/20 (15.0%) received adjuvant chemotherapy or hormonal therapy, respectively, and only 8/20 (40.0%) patients received both therapies. During a median follow-up period of 14.89 months, neither local nor distant metastasis, were detected. The postoperative cosmetic result evaluated by the patients was excellent in 6/20 patients (30.0%), good in 11/20 patients (55.0%), fair in 3/20 (15.0%) with neither poor nor bad results, with an overall mean of 4.0±0.5 equivalent to 80% satisfaction.ConclusionMultiple oncoplastic breast surgery techniques can be used for the resection of CLBC with satisfying cosmetic outcomes.Copyright © 2014. Production and hosting by Elsevier B.V.

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