Vertical axillary approach for conservative treatment of outer breast tumors

Abstract

Background: Breast cancer is the second most common cancer among women, with an estimated 3.5 million
survivors as of 2015. There is continuous annual improvement of the overall survival of breast cancer patients, with
5-year overall survival estimates increasing from 84.6% to 90.9% over the previous two decades.Objective:To
improve aesthetic satisfaction and oncological outcome of patients with breast outer quadrant tumors.Patients and
Methods:This study is an Interventional study conducted in onco-surgery unit, General Surgery Department, Faculty
of Medicine, Zagazig University on 18 cases with early breast cancer at upper and lower outer quadrants of breast
during the period from December 2020 to May 2021. All patients were subjected to demographic data taking,
complete clinical examination, Laboratory investigations included imaging, biopsies, and histopathology. Results:
the Histopathological type of tumor, all of them had Invasive ductal carcinoma. Most of the tumors in our study were
(ER) and (PR) Positive with HER2/neo Negative. The mean duration of operation per minutes was 86.94±10.45
(range 70–105) minute and the mean blood loss per milliliter was 286±12.34 range (250-315) and all patients had no
intraoperative complication.Conclusions: The vertical axillary incision is a safe and effective approach for the
management of tumors of the outer quadrant of the breast; and cosmetically appropriate maneuver for these tumors.