Outcome of Superomedial Pedicle Flap for Lower Outer Quadrant Breast Cancer

Abstract

Abstract Background Breast cancer is the most common cancer among women and is the second leading cause of cancer deaths. The surgical treatment of patients with breast cancer involves either breast conserving surgery or mastectomy, both of which can result in considerable asymmetry of the breasts. Breast reconstruction offers restoration of breast symmetry to such women. The patient needs to be aware that the reconstructed breasts will neither feel nor function like a normal breast but may help in restoring body image and self-confidence. Objective To evaluate the intraoperative and postoperative outcomes and showing advantages and disadvantages of Superiomedial pedicle flap for lower outer quadrant breast cancer in cup ≥ c. Patients and Methods It was a prospective study that included 10 patients aiming to assess outcome of the superomedial pedicle flap oncoplastic technique for lower outer quadrant breast cancer in oversized breast. This study was conducted at Ain Shams University Hospitals. Approval of the ethics committee and written informed consent from all participants were obtained. Results In our study, all of the patients had free safty magins as confirmed by the pathologist in our MDT proving that we had performed a superior medial technique safely from the oncological point of view. We were able to conduct an excellent cosmetic outcome for relatively large tumor excisions which fall in good and fair score groups as those two patients noticed asymmetry of the two breasts. None of our cases have had a poor or an ugly score. Overall, the satisfaction rate with this technique was high, with very few and easily manageable complications. There were no cases of NAC loss. Conclusion Superomedial pedicle can be safely utilized in large size breast reduction without increase of NAC necrosis. The technique is an efficient method to achieve minimal to moderate breast reduction with minimal NAC transposition. The primary surgical goals are attained by appropriate resection of the breast parenchyma. Moreover, a youthful and aesthetically appealing breast is achieved by maintaining superior and medial fullness and reshaping the breast using the parenchyma and skin envelope for support. Superomedial pedicle flap technique offers breastconserving surgery with wider margins offering safer oncologic control with more satisfactory cosmetic outcome.