Assessment of cosmetic outcome of oncoplastic breast conservation surgery in women with early breast cancer: A prospective cohort study

Adimulam, G; Challa, Vasu Reddy; Dhar, Anita; Chumber, Sunil; Seenu, Vuthaluru; Srivastava, Anurag

doi:10.4103/0019-509x.134629

Cited by 17 publications

(7 citation statements)

References 17 publications

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“…As the survival for breast cancer patients continues to improve, the future of surgery for breast cancer lies in integrating the principles of OPS into our practice as the focus of care shifts to improving QOL. Several Indian authors[ 20 21 22 ] have reported case series on the safety and esthetic outcome of oncoplastic procedures. The risk factors reported for poor cosmetic outcome were age, volume of breast tissue excised, and estimated percentage of breast volume excised ( P < 0.05).…”

Section: Surgical Advances: Indian Experiencementioning

confidence: 99%

Breast cancer: An overview of published Indian data

Rangarajan

Shet

Wadasadawala

et al. 2016

South Asian J Cancer

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The Incidence of breast cancer has been steadily increasing in the last two decades, more so in urban areas of the sub-continent. Cancer ceters across the country have large numbers of patients being treated with multiple publications in this field. Inspite of paucity of prospective data and randomised clinical trials from India, there are large number of retrospective publications on various aspects of the disease including pathology, radiology, surgery, chemotherapy, radiation, palliative care and alternatitive treatment modalities. These published data provide an insight into the trends of breast cancer in the country and this comprehensive data review of Indian data will provide a basis for designing trials relevant to our population and planning health care.

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Section: Surgical Advances: Indian Experiencementioning

confidence: 99%

Breast cancer: An overview of published Indian data

Rangarajan

Shet

Wadasadawala

et al. 2016

South Asian J Cancer

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“…Aesthetic outcome was assessed by the patient and clinician ( n = 25, 33.3 per cent) 31 , 36 , 38 , 40 , 42 , 45 , 58 , 65 , 66 , 70 , 76 , 88 , 91–93 , 102 , 103 , 108 , 111 , 112 , 116 , 118–121 , clinician only ( n = 25, 33.3 per cent) 39 , 63 , 68 , 73 , 78 , 79 , 81 , 85 , 96 , 97 , 99–101 , 107 , 113 , 122–126 , patient only ( n = 22, 29.3 per cent) 2 , 47 , 49 , 54 , 64 , 67 , 72 , 74 , 89 , 94 , 109 , 110 , 114 , 117 , 127–135 or was unclear ( n = 2, 2.7 per cent) 95 , 136 . Very few studies ( n = 4) included non-medical staff in aesthetic rating panels …”

Section: Resultsmentioning

confidence: 99%

“…Very few studies ( n = 4) included non-medical staff in aesthetic rating panels 63 , 73 , 86 , 108 . Where clinicians assessed aesthetic outcome, they were stated explicitly to be independent of care provision in 14 of 50 studies 31 , 42 , 45 , 76 , 97 , 99 , 100 , 106 , 112 , 113 , 115 , 116 , 122 , 123 . Similarly, few studies assessed correlation between aesthetic evaluation by clinicians and/or patient satisfaction and/or BCCT.core software 40 , 45 , 85 .…”

Section: Resultsmentioning

confidence: 99%

Outcome reporting in therapeutic mammaplasty: a systematic review

et al. 2021

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Background Therapeutic mammaplasty (TM) is an oncological procedure which combines tumour resection with breast reduction and mastopexy techniques. Previous systematic reviews have demonstrated the oncological safety of TM but reporting of critically important outcomes, such as quality of life, aesthetic and functional outcomes, are limited, piecemeal or inconsistent. This systematic review aimed to identify all outcomes reported in clinical studies of TM to facilitate development of a core outcome set. Methods Medline, EMBASE, CINAHL and Web of Science were searched from inception to 5 August 2020. Included studies reported clinical outcomes following TM for adult women. Two authors screened articles independently for eligibility. Data were extracted regarding the outcome definition and classification type (for example, oncological, quality of life, etc.), time of outcome reporting and measurement tools. Results Of 5709 de-duplicated records, 148 were included in the narrative synthesis. The majority of studies (n = 102, 68.9 per cent) reported measures of survival and/or recurrence; approximately three-quarters (n = 75, 73.5 per cent) had less than 5 years follow-up. Aesthetic outcome was reported in half of studies (n = 75, 50.7 per cent) using mainly subjective, non-validated measurement tools. The time point at which aesthetic assessment was conducted was highly variable, and only defined in 48 (64.0 per cent) studies and none included a preoperative baseline for comparison. Few studies reported quality of life (n = 30, 20.3 per cent), functional outcomes (n = 5, 3.4 per cent) or resource use (n = 28, 18.9 per cent). Conclusion Given the oncological equivalence of TM and mastectomy, treatment decisions are often driven by aesthetic and functional outcomes, which are infrequently and inconsistently reported with non-validated measurement tools.

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“…As reported, breast conservative surgery along with beast reconstruct techniques is now considered as an essential component in making up the breast cosmetic deficiency, especially for the patients in early stage. [ 5 ] Meanwhile, immediate autologous breast reconstruction has been proved to achieve better psychosocial well-being, esthetic outcome, and patient/physician satisfaction. [ 6 ] But the decision of which donor tissue to use in reconstruction may have an impact on a subsequent reconstruction.…”

Section: Introductionmentioning

confidence: 99%

Immediate breast reconstruction with omental flap for luminal breast cancer patients

Zhi

et al. 2017

Medicine

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Rationale:Luminal subtype breast cancer, accounting for 70 to 80% of all breast cancers, has been reported to be associated with good prognosis. However, for the patients with large mass or worse mass position, omental flap transplantation may provide a new option for breast reconstruction.Patient concerns:Ten patients (6 luminal B1, 2 luminal B2, 2 luminal A), were enrolled into the study, between January 23, 2015 and August 22, 2016. The mean age was 34.6 ± 6.96 (24-44) years old. Immunohistochemistry demonstrated that the tumor cells were positive for estrogen receptor and progestrone receptor.Diagnoses:According to the clinicopathological features, diagnosis of breast cancer patients were made.Interventions:Breast-conserving surgery, laparoscopic greater omentum harvest and vascular anas-tomosis were carried out orderly. Postoperative operative results, cosmetic outcomes, complications, as well as blood supply were investigated for surgery evaluation. Reasonable chemotherapy and irradia-tion were adopted to patients according to the pathological condition.Outcomes:We successfully accomplished breast reconstruction by omental flap transplantation, ex-cept one failed case because of the necrosis of omentum and changed to fat transplantation. The volumes and symmetry of breasts were all satisfied. The blood supply was detected to be fluent. Only one case of slight hematoma and another case of one distant metastasis were observed during fol-low-up period. No arm mordities or arm movement restriction occurred after surgery. Moreover, radia-tion therapy and chemotherapy had no clear effects on the reconstructed breast.Lessons:Immediate breast reconstruction surgery by transplanting omental flap for luminal breast cancer patients can be considered successful based on the excellent clinic outcome.

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Assessment of cosmetic outcome of oncoplastic breast conservation surgery in women with early breast cancer: A prospective cohort study

Cited by 17 publications

References 17 publications

Breast cancer: An overview of published Indian data

Breast cancer: An overview of published Indian data

Outcome reporting in therapeutic mammaplasty: a systematic review

Immediate breast reconstruction with omental flap for luminal breast cancer patients

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