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العنوان
A Comparative Study between Round Block Technique and Standard Wide Local Excision in Breast Cancer Patients /
المؤلف
Mohamed, Mohamed Shawky.
هيئة الاعداد
باحث / محمد شوقي محمد
مشرف / عمرو عبد الرؤوف علي عبد الناصر
مشرف / دينا هانيء أحمد
تاريخ النشر
2019.
عدد الصفحات
150 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة
تاريخ الإجازة
1/1/2019
مكان الإجازة
جامعة عين شمس - كلية الطب - الجراحة العامة
الفهرس
Only 14 pages are availabe for public view

Abstract

Breast cancer is the most common cancer in women all over the world representing 18% of all women reported cases of cancer. It represents the leading cause of women mortality as representing 23% of all women cancer deaths.
The decision in any breast cancer patient is taken by MDT that includes breast surgery consultant, pathology consultant, plastic surgery consultant, radiology consultant and medical oncology consultant.
Breast conserving surgeries are now the standard technique for management of breast cancer patient. Oncoplastic techniques are replacing standard wide local excision for their better cosmetic outcomes and better exposure of the tumor.
Round block technique is one of the oncoplastic surgeries that is considered easy scarless operation. It is best indicated in the tumors near nipple and areola complex in small to medium sized breasts and without major ptosis that may not require contralateral symmetrization.
In our study 20 breast cancer patients are subdivided into group (A) 10 females which underwent round block technique and group (B) 10 femaleswhich underwent standard wide local excision. Patient and tumor criteria including age, co morbidities, tumor size and distance between tumor and nipple-areola complex were considered to be non-significant between 2 groups so the only difference is the surgical technique.
The study shows that the round block technique and SWLE have the same results regarding operative time, intra-operative blood loss and post operative complications with the advantage to RBT because of its better cosmetic outcomes and lower re-excision rates. So, the round block technique is superior to SWLE in selected cases.