Oncological and Cosmetic Outcomes of Oncoplastic Surgery for Upper Quadrants Breast Cancer

Aim: This study’s primary objective is to evaluate the oncological outcome of oncoplastic breast surgery (OBS) for resection of breast cancers located in the upper breast quadrants. The secondary purpose is to evaluate the aesthetic outcome and patients’ satisfaction. Methodology: Oncoplastic breast excision with or without contralateral breast reduction to obtain proper symmetry was performed on 105 patients with breast cancer up to stage 3a including those received neoadjuvant chemotherapy. Patients evaluated according to their stage. Short term surgical outcomes including hospital stay, complications, cosmoses, patient satisfaction and recurrence were assessed. Results: A total of 105 patients were included in the study. The four oncoplastic techniques used in this study were batwing mastopexy (n=24), donut mastopexy (n=15), Cosmetic lateral Quadrantectomy (n=42), and inferior pedicle mammoplasty (n=24). Most patients healed uneventfully within 15 days. Overall complication rate was 20%. Natural breast shape was achieved with good cosmesis in 62%, and high patient satisfaction in 80% of cases. We did not encounter neither reoperation nor early recurrence within the 18 months follow up duration. Conclusion: Our study shows that oncoplastic surgery for breast cancers in the upper quadrants can achieve equivalent oncological outcome with advantageous cosmoses and better patient satisfaction.