Quadrantectomy in Breast Cancer Surgery Discover the role of quadrantectomy (QUART) in breast cancer surgery. This in-depth article examines the procedure, its advantages, potential risks, and post-operative measures. Read on to understand how QUART can be a viable option for breast cancer treatment. 


Introduction to QUART (Quadrantectomy) in Breast Cancer Quadrantectomy, commonly known as QUART, is a surgical procedure used in the treatment of breast cancer. This procedure aims to remove only a portion of the breast, specifically the quadrant affected by the tumor, while preserving the rest of the breast tissue. QUART is one of the most common surgical options for breast cancer and is often considered a valid alternative to total mastectomy. 

Indications for QUART QUART is typically recommended in the following cases: 

Small Tumor Size: QUART is more suitable for tumors smaller than 4 cm, as its purpose is to remove only a part of the breast. Tumor Localization: QUART is effective when the tumor is located in a specific area of the breast, such as one of the quadrants. Early Stage: QUART is generally indicated for cases of early-stage breast cancer, where the tumor has not spread to other parts of the body. 

QUART Procedure The QUART procedure involves the following steps: 

Patient Preparation: Before the surgery, the patient will undergo diagnostic tests to assess the tumor’s size and extent. The surgeon will discuss the details of the procedure with the patient and answer any questions. Anesthesia: During the surgery, the patient may receive general anesthesia or local anesthesia with sedation. Incision: The surgeon will make an incision in the breast, usually following the shape of the quadrant affected by the tumor. Tumor Removal: The surgeon will remove the tumor along with a small amount of healthy tissue surrounding it to ensure complete elimination of cancer cells. Closure of the Incision: After tumor removal, the surgeon will close the incision using stitches or surgical adhesives. 

Advantages of QUART QUART offers several advantages over other surgical procedures for breast cancer: 

Breast Preservation: QUART allows for the preservation of most of the breast tissue, reducing the aesthetic impact of the surgery. Faster Recovery: Compared to total mastectomy, QUART involves a shorter recovery period. Fewer Side Effects: Since QUART preserves as much healthy tissue as possible, there are fewer physical and psychological side effects. 

Risks and Complications of QUART Like any surgical procedure, QUART carries some risks and potential complications, including: 

Wound Infection: There is a risk of infection in the incision area. Hematoma: Accumulation of blood in the operated area can cause a hematoma. Seroma: The formation of a seroma, a collection of lymphatic fluid, is possible after surgery. Aesthetic Changes: Despite breast preservation, QUART can still result in aesthetic changes, such as asymmetry or scarring. 

Postoperative and Recovery After the surgery, the patient must follow the surgeon’s instructions to promote swift healing. These may include: 

Wound Care: The patient should keep the incision area clean and dry and follow instructions for wound care. Breast Support: Wearing a proper bra can help support the breast during the postoperative period. Physical Therapy: In some cases, the surgeon may recommend physical therapy to improve recovery and prevent stiffness. Monitoring: The patient should undergo regular follow-up visits to monitor healing and treatment progress. 

Conclusion QUART is an effective and safe surgical procedure used to treat early-stage breast cancer. Its ability to preserve breast tissue and faster recovery make it a preferred choice for many patients. However, it is essential to remember that each case is unique, and the choice of the best surgical procedure depends on various factors, including tumor size, location, and disease stage. A thorough medical evaluation and open communication with the surgeon are crucial for making the best decision for breast cancer treatment. 

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