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Introduction: Surgical treatment of breast cancer was challenged over years. Breast conservation is as oncologically safe as
mastectomy and gives better cosmetic and psychological outcomes.
Aim: Aim of our study was to evaluate the oncological and esthetic outcomes of the lazy lateral technique as a new approach for
tumor located at the upper outer quadrant near anterior axillary fold.
Patients & Methods: Between October 2012 and September 2014, 18 patients with early breast cancer at the upper outer quadrant
and near the anterior axillary fold were surgically treated with the lazy lateral technique.
Results: The age of our patients ranged from 36 to 58 years (Median: 47 years). Most of the patients in this study were diagnosed
as having infiltrating ductal carcinoma (14 patients, 77.7%). The size of the tumor ranged from 0.9 to 3.8 cm. No involved margin
on frozen section. Seroma was the most common postoperative complication and developed in two (11.1%) patients. The cosmetic
outcome was excellent in 12 (66.6%) patients, good in five (27.7%) patients and satisfactory in one (5.5%) patient. No local recurrence or
systemic metastasis was noticed in our patients during a median follow-up period of 38 months (Range: 27-49 months).
Conclusion: The lazy lateral technique is a novel approach for surgical treatment of upper outer quadrant breast cancer near the
anterior axillary fold. It is an oncologically safe procedure and promotes satisfactory esthetic outcomes.