الفهرس 
NORMAL ANATOMY OF THE FEMALE BREASTOnly 14 pages are availabe for public view
Abstract
B
reast carcinoma (BC) has been prevalent in the female population since, at least, ancient Egypt. And since 2020, breast cancer super passed lung cancer, and is now the most common cancer in females worldwide.
Breast cancer is a histologic diagnosis made according to standardized pathologic criteria. The most common breast cancer histology is invasive ductal carcinoma (50%-75% of patients), followed by invasive lobular carcinoma (5%-15% of patients), with mixed ductal/ lobular carcinomas and other rarer histologies making up the remainder of patients.
Skin-sparing mastectomy was described to be an oncologically safe option for females with breast cancer, however, the strategies used for reconstruction whether using prosthetic implants or autologous tissues, each has its own problems, benefits, & drawbacks.
In 2012, the Goldilocks mastectomy method was explained. This method has historically been used for breast reconstruction in women who are not good candidates for conventional methods due to increased risks associated with obesity or medical comorbidities, as well as in those who choose to forego a complex reconstruction procedure and concentrate on treating their symptoms as simply as possible for personal reasons.
Women who have macromastia or severe breast ptosis and are candidates for skin-sparing mastectomy make the best candidates for this treatment.
Additionally, if the original reconstruction fails, the Goldilocks procedure may be used as a last-ditch effort. This method could be used to create a breast mound and prepare the tissue for additional surgery if breast reconstruction with a prosthetic implant is not effective.
The aim of the present study was to assess the feasibility of Goldilocks mastectomy procedure in breast cancer patients and to identify the aesthetic outcomes and the complications of Goldilocks mastectomy.
This was a pilot prospective study which was conducted from February 2022 to December 2022 at the Breast Surgery Department, Ain Shams University Hospitals over 15 eligible patients. All patients were subjected to: Full history taking, Clinical examination, Laboratory investigations, and Radiology investigations.
The main results of the study revealed that the mean age at the time of the operation was (40.5) years and the mean body mass index at the time of the operation was (33.1).
On preoperative evaluation, six patients (40%) were found to have a positive family history and three patients (20%) were found to have had neoadjuvant chemotherapy.
Sonomammography and histopathological examination revealed ten patients (66.66%) were found to have invasive ductal carcinoma (IDC), three patients (20%) were found to have invasive lobular carcinoma (ILC), one patient (6.66%) was found to have multifocal Carcinoma in-situ and one patient (6.66%) was found to have multicentric Carcinoma in-situ.
The overall complication rate was 20% (seroma = one case , hematoma = one case, wound dehiscence = one case).
There was a highly significant difference between preoperative and postoperative breast-Q questionnaires as regards sexual well-being (P<0.001).
Based on our results we recommend for further studies on larger patients and longer period of follow up to emphasize our conclusion.
CONCLUSION AND RECOMMENDATIONS
G
oldilocks mastectomy is a feasible option for patients with breast cancer and macromastia or significant breast ptosis. It has accepted results and patient satisfaction rates with low complicated rates. Putting in consideration that the alternative has to be modified radical mastectomy thus it has a theoretical superiority. Comparative multicenteric studies, larger cohorts and longer follow-up are needed to support this hypothesis