High Patient Satisfaction with Modified Oncoplastic Surgery in Multifocal Breast Cancer

In breast cancer treatment, oncoplastic surgical techniques are among the modern approaches that allow both the safe removal of cancerous tissue and the preservation of the aesthetic appearance of the breast. A recently conducted clinical study has focused specifically on multifocal breast cancer cases located in the upper inner quadrant (UIQ) of the breast. Surgical strategies developed for this challenging location prioritize the patients' quality of life while minimizing the risk of cancer recurrence. Researchers applied the modified Würinger central pedicle mastopexy technique, a new surgical method that allows for the removal of large volumes of tissue in this patient group. A comprehensive analysis of patient satisfaction and quality of life was conducted to prove how successful this treatment is both medically and aesthetically.

The research in question was conducted at a single center on a total of 52 patients diagnosed with breast cancer. Since standard surgical approaches might be insufficient due to the presence of multiple tumor foci in the upper inner quadrant of the patients' breasts, the modified Würinger technique was utilized. This technique operates based on a central pedicle structure that supports the natural anatomy and blood supply of the breast. In practice, this method, which allows for tissue removal with wider and safer surgical margins, aims for the complete clearance of the tumor without causing severe deformities in the breast skin and form. Thus, patients had the opportunity to undergo a surgical process with high oncological reliability.

Following the surgical procedure, the patients' satisfaction levels and overall quality of life were measured in detail through a specific and validated questionnaire called BREAST-Q. When the results were examined, it was observed that 80.8 percent of the patients were highly satisfied with the treatment process and the aesthetic outcomes obtained. Furthermore, the significant improvements in the BREAST-Q quality of life scores prove that the surgical intervention was not limited to physical recovery alone. It was determined that this newly developed surgical technique enables women to feel physically better and also creates a psychologically supportive effect. These findings clearly demonstrate the critical role of aesthetic outcomes in the holistic success of cancer treatment.

In the medical literature, the risk of experiencing severe complications such as infection or wound healing issues following major surgical resections (tissue removals) is generally considered to be high. However, the data obtained in this study paint a highly encouraging picture. No major infectious complications were encountered in patients who underwent the modified Würinger central pedicle mastopexy method. This situation indicates that the surgical technique has an extremely robust foundation not only aesthetically and functionally but also in terms of patient safety. This very low infection risk has shortened the patients' hospital stays and allowed them to return to their normal lives more quickly. The absence of complications demonstrates that surgeons can safely choose this method for upper inner quadrant multifocal tumors.

In conclusion, this single-center experience represents a significant milestone in the treatment of upper inner quadrant multifocal breast cancer. The modified Würinger central pedicle mastopexy method has successfully preserved the natural appearance of the breast while clearing the cancerous tissue with wide margins. With both high patient satisfaction rates and a safe profile that does not cause serious health issues, this technique stands out as a promising standard for future surgical applications. Confirming these results in different patient groups in similar clinical studies will pave the way for the wider adoption of oncoplastic surgical methods. Such surgical innovations, focused on improving the quality of life of women with breast cancer, are expected to gain a greater place in modern oncological treatment approaches.