Round Block Technique Versus Reduction Mammoplasty in Treatment of Early Breast Cancer

Abstract Background Early breast cancer can be defined as the presence of a mobile tumor within the breast with or without associated mobile enlarged lymph nodes, and represents the vast majority of patients who present now with breast cancer. Breast-conserving treatment (BCT) has become the standard treatment in early-stage breast cancer; Its goal is to provide a treatment as effective as mastectomy, with the added benefit of a preserved breast. Aims The aim of the study is the comparison between Round block technique and Reduction mammoplasty in management of early breast cancer. Methodology This is a prospective controlled clinical study which included 30 patients, who were admitted to Ain Shams University Hospitals, with a diagnosis of early breast cancer T1 or T2, N0 or N1, M0. Patients were subdivided into 2 groups: Group I: This group is composed of 15 patients with early breast cancer (T1 or T2, N0 or N1, MO) underwent\Round block rechnique. Group II: This group is composed of 15 patients with early breast cancer (T1 or T2, N0 or N1, MO) underwent Reduction mammoplasty. Results In our study, there was no significant statistical difference between the two groups regarding: patients age, our patients were younger in comparable to other studies as we reported average age 47(30-62 years) and 43 (30-64 years). Family history, as 2(40%) and 1(30%) in first degree family members. Side of the lesion (mass), was in right breast in (53.3%) and (60%) in group (I) (Round block group) and group(II) (Reduction mammoplasty group), respectively. There was a significant difference, between the two groups as regard: Intraoperative blood loss, intraoperative time, hospital stay, postoperative complication and cosmetic outcome Conclusion Oncoplastic surgery gives a new tool for the treatment of breast cancer as much larger volume of breast tissue can be excised, and wider surgical margins can be achieved especially for larger tumors with better cosmetic outcome, in which a standard resection can lead to poor cosmetic results and tumor-involved surgical margins. Patients with early breast cancer with medium size breast with no major ptosis that are candidate for Round block technique and reduction mammoplasty, round block technique is better for them as there is less morbidity, less complications so no delay in radiotherapy, better cosmesis, mostly doesn’t need contralateral breast surgery for symmetrization and Reduction mammoplasty needs more surgeon’s experience.