Assessment of inferior pedicle therapeutic mammoplasty as apart of volume displacement techniques of oncoplastic breast surgery for early breast cancer

Abstract

Background: The current gold standard for treating breast cancer is a combination of radiation and breast oncoplastic treatments. When treating malignancies in the top quadrants of big, ptotic breasts, inferior pedicle mammoplasty allows for extensive quadrantectomies to be conducted without changing the breast's natural shape or reducing the amount of breast volume that may be irradiated. Aesthetically attractive tumor removal with substantial safety margins is the goal of therapeutic mammoplasty. The aim of this study: Its purpose is to treat early-stage breast cancer in women with big breasts using the inferior pedicle therapeutic mammoplasty technique. Methods: This research comprised fifteen large-breasted women who were diagnosed with early breast cancer during the months of June 2019 and June 2021. Results: The patients' ages varied from 31 to 57 years (median 49.7), and the tumor sizes ranged from one to three and a half centimeters. The weight of the excised tissue ranged from 350 grams to 780 grams, while the tumor safety margins varied between three and eight centimeters. A patient had a straightforward mastectomy because to the presence of infiltrative margin measuring 7.14%. The most frequent consequences after surgery are inflammation and wound infection, affecting two patients (14.28%). In one instance (7.14%), cancer recurred and required a broad local incision. Out of the total number of patients, 10 individuals (71.4%) had an exceptional cosmetic outcome. One patient (7.1%) had good results, while two patients (14.3%) reported passable outcomes. Unfortunately, one patient (7.1%) experienced a negative result. The duration of the follow-up period ranges from 6 to 42 months. Conclusion: The use of the inferior pedicle therapeutic reduction mammoplasty technique is a safe and effective surgical treatment for treating early breast cancer in women with big breasts. This operation not only addresses the oncological aspects but also provides a pleasing cosmetic result.