DOI: https://doi.org/10.36347/sasjs.2025.v11i09.006

Pages: 927-933

Background: Conservative surgery is currently a major option in the surgical treatment of breast cancer in women. This study aimed to report our experience with this practice in a resource-limited setting in Mali. Patients and Methods: The study was a cross-sectional, descriptive, and retrospective study involving breast cancer patients treated with conservative surgery between January 2016 and December 2023 in the Surgery B Department of the Point G University Hospital. Data collected included: patient characteristics, clinical features of the lesions, reasons for choosing conservation, surgical techniques and their indications, and oncological and cosmetic outcomes. Results: Conservative surgery was performed in 73 patients, representing 32.6% of female breast cancers. The mean patient age was 39.6 years. Tumors were early stage (Tis, T1, and T2) in 54.8% of cases. Breast-conserving surgery was often preceded by neoadjuvant chemotherapy in 60.3% of patients. Oncoplastic techniques were used in 82.2% of cases. The adjuvant radiotherapy success rate was 45.2%. Results were marked by a local recurrence rate of 5.5% and a good cosmetic outcome in 76.7% of cases. Conclusion: Despite local constraints, breast-conserving surgery is feasible in Mali, with good cosmetic and oncological results. Improving access to screening, radiotherapy, and specialized training is essential to expand its use.