Comparing Cosmetic Outcomes, Quality of Life, and Satisfaction Between Round-block and Retroglandular Oncoplastic Breast Conserving Surgeries

What this Trial Is About

Researchers are evaluating the clinical, oncological, and aesthetic outcomes and patients quality of life and satisfaction following two types of oncoplastic breast conserving surgeries in women with early unilateral breast cancer. This responsive-adaptive prospective randomized study compares the widely studied round-block technique with the newer retroglandular technique, hypothesizing both provide safe tumor removal with low complication rates, good cosmetic results, and sustained patient satisfaction after whole breast irradiation. Participants receive either round-block or retroglandular oncoplastic breast conserving surgery, both standardized surgical procedures adapted to tumor location and breast anatomy. The round-block method involves de-epithelizing and mobilizing breast tissue near the tumor, while the retroglandular technique includes dissecting tissue beneath the breast and muscle. After surgery, patients undergo standard oncological treatments, and follow-up includes regular assessments over five years. Participants undergo preoperative examinations including biopsies, imaging, and breast measurements, with data collected on tumor characteristics and patient health. Postoperative follow-up occurs at 4-6 weeks, 3 months, and then every 6 months for 5 years, involving photo documentation, breast measurements, software analysis, and quality of life questionnaires. Researchers monitor oncological safety, cosmetic outcomes, patient satisfaction, complications, and quality of life throughout the study period.

Comparison of the Cosmetic Results, Quality of Life and Patient Satisfaction Achieved With Round-block and Retroglandular Oncoplastic Breast Conserving Surgeries