Inferior pedicle technique with immediate nipple–areola reconstruction as an oncoplastic procedure for early central breast cancer

Abstract

Introduction Requirements and indications for usage of an inferior pedicle oncoplastic reduction are cases having breast cancer wishing to preserve their breasts with moderate-sized to large breasts and ptosis. A decreased breast volume tolerates radiation therapy better than a large-volume breast, and aesthetic outcomes have been revealed and displayed to be superior. Aim To evaluate inferior pedicle technique as an oncoplastic procedure for management of central breast cancer. Patients and methods A prospective analytical research study that recruited 15 cases was conducted at Ain Shams University Hospitals and Bahya Specialized Hospital for breast cancer. Approval of the Ethical Committee and written informed consent from all participants were obtained. Results The number of cases given excellent score (score 5) was 9, the number of cases given very good score (score 4) was 4, the number of cases given good score (score 3) was 1, the number of cases given fair score (score 2) was 1, the number of cases given poor score (score 1) was 0, and the number of cases given ugly score (score 0) was 0. All of our patients had clear margins in frozen sections taken during the operations and the postoperative paraffin section results provided by our pathologist, and none of them had recurrence during postoperative follow-up period of 6-month duration. Conclusion Inferior pedicle oncoplastic reduction is a very reliable and adaptable technique for reconstructing the partial mastectomy defects in women with macromastia or ptosis.