Central Asian Journal of Medicine


Breast cancer is a common disease affecting millions of women, often at a relatively young age. Every tenth woman in the Uzbekistan develop breast cancer during her lifetime; 2.5 million women survive annually after treatment, and a significant increase in the number of such patients is expected in the coming decades.1 Reconstruction after a mastectomy enables women to alleviate the emotional and aesthetic defect of this severe illness. Successful breast surgery virtually eliminates a postmastectomy psychosocial defect - this is the main disabling factor. Oncoplastic surgery is increasingly performed in Uzbekish women;Uzbekish women usually have normal-big to moderate-sized breasts. To achieve better outcomes in reconstructed breasts, several factors determining the optimal surgical method should be considered. Methods: A total of 135 patients who underwent oncoplastic surgery from September 2015 to November 2019were retrospectively investigated. We used various methods, including glandular tissue reshaping, latissimus dorsi (LD) flap transposition, and reduction oncoplasty to restore the breast volume and symmetry. Results: The mean weight of the tumor specimen was 40.46 g and tumor specimen to breast volume ratio was 0.12 g/cc in the glandular tissue reshaping group (n=59), 101.47 g and 0.14 g/cc in the reduction oncoplasty group (n=17), and 82.54 g and 0.20 g/cc in the LD flap group (n=44). Glandular tissue reshaping was mostly performed in the upper outer quadrant and LD flap transposition in the lower inner quadrant. No major complications were noted. Most patients were satisfied with the aesthetic results. Conclusion: We had satisfactory outcomes of oncoplastic surgeries in Uzbekish patients. The results about specimen weight and tumor to breast ratio of Uzbekistan region patients will be a helpful reference to determine the method of oncoplastic surgery.

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