ROUND-BLOCK TECHNIQUE IN MANAGEMENT OF CONSERVATIVE BREAST SURGERY.

Background: A periareolar doughnut incision is used in the circular block procedure, which is a novel method of breast resection. However, it requires more technical skill & takes longer to complete. Method: The purpose of this trial was focus upon the use of round-block technique in conservative oncoplastic breast cancer surgery as a form of treatment option regarding oncological safety, efficacy, final cosmetic results on the quality of life & the contentment of the individual receiving treatment, advantages and disadvantages. This was an observational cross sectional study that was conducted on (40) patients with early breast cancer treated by conservative breast surgery (Round –Block Technique). The duration of the study was two years. Result: Among our studied patients lack of symmetry occurred in 22.5% of patients followed by unacceptable scar and pain in the treated breast in 17.5% then seroma and areola depigmentation were developed in 15% for each followed by feeling of numbness or tingling in 12.5% then restricted arm movement and local infection in 10% then hematoma and delayed wound healing in 7.5%, hypertrophic scar in 5% of cases. Conclusion: The round block approach is viable as well as oncologically safe for the initial stages of carcinoma of the breast. It also produces desirable cosmetic effects without adding any additional layers of complexity to the treatment process.