Abstract:RM is a useful approach in breast cancer surgery, with a low rate of re-excision and mastectomy. Overall survival at 10 years is similar to that associated with tumorectomy, though with a higher rate of local recurrence. Patient satisfaction and quality of life appears to be good one year after radiotherapy.
“…Describing the experience of the Milan European Institute of Oncology, Lorenzi et al reported the incidence of local relapse to be 6.7% at 10 years. Finally, Acea et al found a local relapse incidence of 4.7% and 9.8% at 5 and 10 years, respectively. In these three studies, no difference in overall survival was observed between lumpectomy and oncoplastic procedures.…”
Section: Results Of Clinical Characteristics and Pathological Assessmentmentioning
“…Describing the experience of the Milan European Institute of Oncology, Lorenzi et al reported the incidence of local relapse to be 6.7% at 10 years. Finally, Acea et al found a local relapse incidence of 4.7% and 9.8% at 5 and 10 years, respectively. In these three studies, no difference in overall survival was observed between lumpectomy and oncoplastic procedures.…”
Section: Results Of Clinical Characteristics and Pathological Assessmentmentioning
“…TM procedures are more complex than standard BCS, with potential resource implications. Although complication rates and oncological safety have been reported in the literature the majority of published studies are retrospective, single‐centre, often single‐surgeon case series with limited follow‐up. Many are poorly designed and reported, with inconsistent end‐points that limit cross‐study comparison and meaningful data synthesis.…”
Therapeutic mammaplasty is a safe and effective alternative to mastectomy or standard breast-conserving surgery. Further work is required to explore the impact of the technique on quality of life, and to establish cost-effectiveness.
“…We appreciate Dr. Mona Tan's comments about our manuscript 1 and we would like to respond to the different issues raised in her reply. We agree with Dr. Tan that RM can-not be considered the standard technique for the surgical management of breast cancer.…”
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