The Oncoplastic Challenge Of Corrective Surgical Management Of Tx Breast Cancer After Unplanned Resection

Background: The problem of unplanned surgical resection of breast cancer is a common clinical problem encountered in our practice. It represents a demanding challenge for oncoplastic surgeons that often limits the available options for definitive surgery due to unplanned skin incision, unreliable vascular anatomy, and obscure safety margin status. Patients and Methods: The authors retrospectively reviewed the data system of the hospital for patients diagnosed with breast cancer between June 2008 & June 2018. 490 patients had unplanned resected breast cancers (Tx) and were enrolled in this study. The epidemiologic, pathologic, and operative data of these patients were analysed. Results: The average annual rate of unplanned resected breast cancer (Tx) in our hospital was about 17% among the new cases diagnosed with breast cancer. The age of the patients ranged from 21 to 57 (median 42.2)years. 409 patients underwent mastectomy (MRM or radical) without reconstruction and 14 patients received conventional conservative breast surgery. While 10 patients had volume displacement oncoplastic surgery and 57 patients had volume replacement oncoplastic surgery. Subjective patient satisfaction was excellent in 55 cases, good in 22 cases, fair in 3 cases & poor in one case. Conclusion: Unplanned excision of breast cancer is still a surgical challenge; however, the application of oncoplastic techniques with wise selection results in a satisfactory aesthetic outcome, low morbidity, and comparable oncologic outcome.