Prediction of cosmetic outcome following conservative breast surgery using breast volume measurements

Bulstrode, Neil; Shrotria, S.

doi:10.1054/brst.2000.0197

Cited by 99 publications

(61 citation statements)

References 7 publications

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“…Some studies have used bra cup size to estimate breast size [13], which is an imprecise measurement [22]. Bulstrode et al [23] and Cochrane et al [6] used mammography measurements, which improved accuracy. However, this method requires access to mammograms, applicable software, and calculation of breast volume.…”

Section: Discussionmentioning

confidence: 99%

Determinants for patient satisfaction regarding aesthetic outcome and skin sensitivity after breast-conserving surgery

et al. 2016

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BackgroundWith the development of new surgical techniques in breast cancer, such as oncoplastic breast surgery, increased knowledge of risk factors for poor satisfaction with conventional breast-conserving surgery (BCS) is needed in order to determine which patients to offer these techniques to. The aim of this study was to investigate patient satisfaction regarding aesthetic result and skin sensitivity in relation to patient, tumour, and treatment factors, in a consecutive sample of patients undergoing conventional BCS.MethodsWomen eligible for BCS were recruited between February 1, 2008 and January 31, 2012 in a prospective setup. In all, 297 women completed a study-specific questionnaire 1 year after conventional BCS and radiotherapy. Potential risk factors for poor satisfaction were investigated using logistic regression analysis.ResultsThe great majority of the women, 84%, were satisfied or very satisfied with the overall aesthetic result. The rate of satisfaction regarding symmetry between the breasts was 68% and for skin sensitivity in the operated breast it was 67%. Excision of more than 20% of the preoperative breast volume was associated with poor satisfaction regarding overall aesthetic outcome, as was axillary clearance. A high BMI (≥30 kg/m2) seemed to affect satisfaction with symmetry negatively. Factors associated with less satisfied patients regarding skin sensitivity in the operated breast were an excision of ≥20% of preoperative breast volume, a BMI of 25–30 kg/m2, axillary clearance, and radiotherapy. Re-excision and postoperative infection were associated with lower rates of satisfaction regarding both overall aesthetic outcome and symmetry, as well as with skin sensitivity.ConclusionsSeveral factors affect patient satisfaction after BCS. A major determinant of poor satisfaction in this study was a large excision of breast volume. If the percentage of breast volume excised is estimated to exceed 20%, other techniques, such as oncoplastic breast surgery, with or without contralateral surgery, or mastectomy with reconstruction, may be considered.Electronic supplementary materialThe online version of this article (doi:10.1186/s12957-016-1053-8) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Determinants for patient satisfaction regarding aesthetic outcome and skin sensitivity after breast-conserving surgery

et al. 2016

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“…Fung et al concluded that most accurate and reproducible formula for calculating breast volume was the one that assumed the elliptical cone projection rather than circular cone on mammogram [11] . Bullstrode found calculating the breast volume from mammography that has previously been compared to mastectomy samples shown to be reasonably accurate and therefore method of choice [12] . Kayar has also revealed that the most accurate method was mammography for all volume ranges [3] .…”

Section: Discussionmentioning

confidence: 99%

Breast Volume estimation by Anthropometry

Karwasra¹

2018

jmscr

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“…Anthropomorphic measurements are relatively feasible, cheap, and quick to perform and have been found to be the most convenient method for breast volume determination [14,20]. Some authors have used anthropomorphic measurements in establishing a method for predicting resection weight.…”

Section: Discussionmentioning

confidence: 99%

Prediction of Resection Weight in Reduction Mammaplasty Based on Anthropometric Measurements

Keçeci¹,

Sır²

2014

Breast Care

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Background: The aim of this study was to develop a simple, clinically useful method to accurately predict resection weight in women undergoing reduction mammaplasty. Patients and Methods: 39 women undergoing breast reduction participated in the study. Sternal notch to nipple distance, nipple to inframammary fold distance (NIMF), medial end point to nipple distance (MN), lateral endpoint to nipple distance (LN), superior border of the breast to nipple distance (SN), breast circumference (BC), and chest circumference (CC) were measured. 5 other predicting variables were also derived; horizontal breast measurement (H) by adding MN to LN, vertical breast measurement (V) by adding NIMF to SN, the product of H and V (H*V), the product of H and NIMF (H*NIMF), and the difference between BC and CC (D). Regression analysis was used to compose a formula for predicting resection weight. Results: Among the predicting variables, H*NIMF measurements had the highest correlation coefficient value (Pearson correlation = 0.809) with the resection weight. The following formula was obtained with regression analysis: Predicted resection weight = (1.45 × H*NIMF) + (31.5 × D) - 576. Conclusion: Breast resection weights can be accurately predicted by the presented method based on anthropomorphic measurements.

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Prediction of cosmetic outcome following conservative breast surgery using breast volume measurements

Cited by 99 publications

References 7 publications

Determinants for patient satisfaction regarding aesthetic outcome and skin sensitivity after breast-conserving surgery

Determinants for patient satisfaction regarding aesthetic outcome and skin sensitivity after breast-conserving surgery

Breast Volume estimation by Anthropometry

Prediction of Resection Weight in Reduction Mammaplasty Based on Anthropometric Measurements

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