الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
 |  | from | 54 |  |  |
| | | from | 54 | | |
Abstract
The main goal of tumor excision using breast-conserving surgery is to achieve tumor-free resection margins, although an important secondary goal in BCS is to achieve an acceptable cosmetic outcome, a factor vital to patient satisfaction and quality of life.
In order to enhance the aesthetic results of breast-conserving therapy, a collection of surgical techniques have been developed, encompassed in the term ‘oncoplastic surgery’.
Oncoplastic surgery denotes several surgical techniques by which segments of breast tissue are excised to achieve wide margins around the tumor while the remaining glandular tissue is transposed to reach the best possible aesthetic outcome. OPS is based on two broad techniques: volume-displacement and volume-replacement techniques.
The round block technique is one of the volume-displacement techniques for mammaplasty that restricts the scar to the areola.
In the current study, our aim was to assess the oncological and cosmetic outcomes for patients after using the RBT, as one of oncoplastic surgical techniques, for breast cancer.
In the present study, the study participants consisted of 20 patients with breast cancer that underwent BCS using the RBT at Surgical Oncology Unit, Department of Surgery, Faculty of Medicine Alexandria University.
The technique was assessed later regarding postoperative complications, oncological and cosmetic outcome which included patient satisfaction & surgical team evaluation.
In the present study, the mean age of the patients were 53.90 ± 12.99 years. Most of the tumors (60 %) were located in the upper outer quadrant in the periareolar region. Four patients (20%) had breast cup size A, 12 patients (60%) had breast cup size B & 4 patients (20%) had breast cup size C. The mean tumor size was 2.33 ± 0.75 cm. 70 % of the cases were found to be invasive ductal carcinoma not otherwise specified.
In the current study, the encountered postoperative complications were as follows: breast seromas 5 patients (25%), which was managed by aspiration, 2 patients (10%) mild wound infection and only one patient (5%) local wound dehiscence.
Concerning cosmetic assessment; 15 patients were extremely satisfied (75 %), 4 patients were moderately satisfied (20 %) & one patient was unsatisfied (5%).
As regards oncological assessment, no case of local recurrence nor distant metastasis occurred during a median follow up period of 12 month.