Patient self-evaluation of cosmetic outcome of breast-preserving cancer treatment

Patterson, Mary P.; Pezner, Richard D.; Hill, L. Robert; Vora, Nayana; Desai, Kanta R.; Archambeau, John O.; Lipsett, James A.

doi:10.1016/0360-3016(84)90658-8

Cited by 13 publications

(22 citation statements)

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“…It is estimated that approximately 5%–25% of patients could have a poor cosmetic outcome after OPS [23, 24]. In 1999, Al-Ghazal and Blamey illustrated data demonstrating no correlation between scar length and satisfaction [25].…”

Section: Discussionmentioning

confidence: 99%

Oncoplastic Surgery for Upper/Upper Inner Quadrant Breast Cancer

et al. 2016

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Tumors located in the upper/upper inner quadrant of the breast warrant more attention. A small lesion relative to the size of breast in this location may be resolved by performing a level I oncoplastic technique. However, a wide excision may significantly reduce the overall quality of the breast shape by distorting the visible breast line. From June 2012 to April 2015, 36 patients with breast cancer located in the upper/upper inner quadrant underwent breast-conservation surgery with matrix rotation mammoplasty. According to the size and location of the tumor relative to the nipple-areola complex, 11 patients underwent matrix rotation with periareolar de-epithelialization (donut group) and the other 25 underwent matrix rotation only (non-donut group). The cosmetic results were self-assessed by questionnaires. The average weights of the excised breast lumps in the donut and non-donut groups were 104.1 and 84.5 g, respectively. During the 3-year follow-up period, local recurrence was observed in one case and was managed with nipple-sparing mastectomy followed by breast reconstruction with prosthetic implants. In total, 31 patients (88.6%) ranked their postoperative result as either acceptable or satisfactory. The treated breasts were also self-evaluated by 27 patients (77.1%) to be nearly identical to or just slightly different from the untreated side. Matrix rotation is an easy breast-preserving technique for treating breast cancer located in the upper/upper inner quadrant of the breast that requires a relatively wide excision. With this technique, a larger breast tumor could be removed without compromising the breast appearance.

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Section: Discussionmentioning

confidence: 99%

Oncoplastic Surgery for Upper/Upper Inner Quadrant Breast Cancer

et al. 2016

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“…The cosmetic outcome was assessed by a plastic surgeon and a nurse independently, using the same seven criteria. The score obtained was categorized into four outcomes as poor (≤15), fair (16)(17)(18), good (19)(20)(21)(22) and excellent (23-26). Total score given by surgeon was in the range of 8-25.…”

Section: Resultsmentioning

confidence: 99%

“…Few studies showed that axillary lymph node radiotherapy was associated with poorer outcome, though in the present study it was not significant. [21,22] A systematic review of oncoplastic breast surgery was carried out by Franceschini et al, were they evaluated 11 studies on volume displacement techniques. This study showed that risk of margin involvement varied from 0% to 18.9%, risk of local recurrence from 0% to 13% and excellent-good cosmetic result was obtained in 70% to 95% of patients.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2014

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“…Randomized control trials have also proved that shorter fractionation has almost the same local control rate and radiation-related sequelae as conventional fractionation [4,9]. Breast conservation therapy was originally developed with the goal of keeping the patients' QOL at a satisfactory level, without diminishing survival rates or altering local control rates [14,15]. Acute and late radiation-related sequelae are usually estimated by the CTCAEv.3.0 and the LENT SOMA scales, respectively [16,17].…”

Section: Discussionmentioning

confidence: 99%