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العنوان
Oncoplastic Inferior Based Dermoglandular Flap in Upper Inner Quadrant Breast Cancer /
المؤلف
Sakr , Abdelaziz Ragab Abdelaziz.
هيئة الاعداد
باحث / عبد العزيز رجب عبد العزيز صقر
مشرف / علاء عبد العظيم السيسي
مشرف / طارق محي راجح
مشرف / محمود احمد شاهين
الموضوع
Breast Cancer Surgery. Breast Neoplasms Surgery.
تاريخ النشر
2023.
عدد الصفحات
120 p. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
جراحة
تاريخ الإجازة
1/5/2023
مكان الإجازة
جامعة المنوفية - كلية الطب - الجراحة العامة
الفهرس
Only 14 pages are availabe for public view

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from 127

Abstract

 This is a prospective study carried out from March 2021 to March 2023 on 50 female patients diagnosed to have breast cancer in the upper inner quadrant of the breast. The Patients’ characteristics, Tumor characteristics, Operative data, cosmetic result, postoperative complications, and resection margins were all evaluated.
 The age of the patients varied from 37 and 68 years old. The mean age for this study was 53.48 years old and SD was 9.36. The BMI of the patients varied from 25.4 and 33.1 years old. Of all patients, 9 patients suffered from systemic diseases, 6 patients diabetics and 3 patient hypertensives. There were 32 cases received neoadjuvant chemotherapy and 18 cases underwent upfront surgery.
 The smallest tumor size was 1.8 cm, the largest one was 3.9 cm. The distance from the NAC was variable among the cases of the study; the nearest tumor was 1.8 cm from NAC, the farthest was 10.5 cm from NAC.
 In this study contralateral reduction mammoplasty done for symmetrization to 29 cases
 The complication rate was 12% (marginal skin necrosis, seroma formation, and wound infection). In every case, the surgical margins of resection were negative. Overall satisfaction was rated excellent by 32 patients (64%), good by 10 patients (20%), and fair by 5 patients (10%). The overall mean score of our study according to likert score was 3.42± 0.905 which falls between good and excellent.
 In terms of free surgical margins, resection speeds, and excellent cosmetic results, our methodology provides a good option for the reshaping that accompanies UIQ breast cancer in large ptotic breast.