Comparative Study between Level 1 Oncoplasty and Round Block Excision in Management of Early Stage Breast

Abstract Background: Breast cancer is the most frequent cancer in women and the world's second most common cancer. About 268,600 newly diagnosed women with invasive illness in the United States in 2019. Therefore, the aim of the present thesis was to review the literature of the management of early stage breast cancer and compare between 2 conservative breast surgeries which is round block technique and level one onco-plasty technique. Aim of Study: To compare between two conservative breast surgeries, which are level 1 oncoplasty and round block excision. The comparison will be in the cosmotic outcome, incidence of complications and the time of operation. Patients and Methods: In this study, 78 patients with early stage breast cancer were managed by conservative breast surgery between December 2020 and January 2022 patients were divided in 2 groups with 39 patients in each group. In the first group, were treated by circumareolar technique and in the second group, breast cancer treated by round block technique. The 2 techniques were compared according to operative time, cosmetic appearance postoperative, incidence of complications and patients satisfaction. Results: In this study, we encountered early wound com-plications in 24 patients (31.2%) patients. 15 patients (19.2%) developed postoperative seroma all were without drain: All of these were associated with excision of large breast tissue volume and large-sized breasts. Three patients (3.8%) devel-oped postoperative skin infection. 6 patients (7.7%) developed delayed wound healing. We found that 5 (11%) patients had other comorbidities (diabetes mellitus), and the 1 patient had a large-sized breast with moderate ptosis with BMI of 36kg/m2. Conclusion: The primary goal of tumor excision using breast-conserving surgery is to achieve tumor-free resection margins, although an important secondary goal in breast-conserving surgery is to achieve a satisfactory cosmetic outcome, a factor crucial to patient satisfaction and quality of life.