Determination of Oncologic Outcomes, Satisfaction, and Psychosocial Well-being in Patients with Breast Cancer after Oncoplastic and Conventional Breast Conserving

Abstract

Background: Breast cancer is the most common cancer in women and surgery is necessary for its treatment. We aimed to determine the oncologic outcomes, satisfaction with breasts, and psychosocial well-being in the patients with breast cancer, after oncoplastic and conventional breast conserving surgery (BCS). Method: The patients with breast cancer from Shahid Motahari Clinic affiliated to Shiraz University of Medical Sciences, Shiraz, Iran from December 2020 to December 2021 were allocated to two groups, one who had undergone BCS alone and the patients who had undergone oncoplastic BCS. For all the patients, demographic data, data about surgery, oncologic outcomes, wound complications, and BREAST-Q© questionnaire score were collected and compared between two groups. Result: The mean age of the patients in the oncoplastic BCS and BCS group was 48.13±9.73 (median=48), and 50.01±8.47 (median=50) years, respectively. The mean score of psychosocial well-being was higher in the oncoplastic BCS group in comparison with BCS alone. ( P -value< 0.0001). Also, the mean score of satisfaction with breast was higher among the oncoplastic BCS group in comparison with the BCS group ( P -value< 0.0001). Conclusion: Replacing traditional BCS with oncoplastic BCS does not adversely affect the oncologic results of surgery but improves the consequent psychosocial well-being and satisfaction in the patients.

Evolution of breast conserving surgery—current implementation of oncoplastic techniques in breast conserving surgery: a literature review

“…Research in the field of literature indicates that patients tend to experience improved physical and psychological health when oncoplastic surgery techniques are employed, as opposed to undergoing mastectomy with or without reconstruction ( 79 ). Additionally, the average psychosocial well-being score in the BREAST-Q questionnaire is notably higher in patients who undergo O-BCS when compared to those who opt for simple S-BCS alone (41.94±5.78 versus 38.02±7.21; with a statistically significant P value of <0.0001) ( 80 ).…”