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A Clinical Analysis of Prognosis and Patient-Reported Outcomes of Oncoplastic Breast-Conserving Surgery for Early Breast Cancer: A Retrospective Cohort Study.
- Source :
-
Aesthetic plastic surgery [Aesthetic Plast Surg] 2024 Aug; Vol. 48 (16), pp. 3109-3119. Date of Electronic Publication: 2023 Oct 11. - Publication Year :
- 2024
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Abstract
- Purpose: Approximately 25-30% of patients suffer from breast deformity and/or asymmetry after conventional breast-conserving surgery (CBCS). Generally, it is thought that oncoplastic breast-conserving surgery (OBCS) results in an improved cosmetic result; however, studies comparing the prognosis and aesthetic outcomes of CBCS and OBCS in early breast cancer (EBC) are inadequate.<br />Methods: A total of 143 patients were included in this retrospective cohort study; 53 underwent OBCS and 90 underwent CBCS. The resected weight, complications, esthetic results, patient satisfaction, and recurrence rate were compared between the groups. Patient-reported outcomes (PRO) were assessed by the BREAST-Q questionnaire.<br />Results: The mean age of the patients in OBCS group was 43.8 years. This was younger than that in CBCS group (49.1 years, p < 0.001). Postoperative complications (11.3% vs. 8.9%, p = 0.64) and re-excision (5.7% vs. 6.7%, p > 0.99) rates were similar. The OBCS group had higher breast satisfaction and psychosocial well-being than the CBCS group (75 vs. 63, p < 0.001 and 84 vs. 77, p = 0.05); however, sexual well-being (56 vs. 66, p = 0.05) and physical well-being (65 vs. 76, p < 0.001) were worse in OBCS. After 42.3 (range: 12.6-69.2)-month median follow-up, no difference in event-free survival (EFS) was demonstrated between the groups (p = 0.13).<br />Conclusion: Although OBCS has the better aesthetic outcomes and identical oncological safety in comparison with CBCS, the sexual and physical well-being in OBCS are not improved for Asian patients. Hence, choosing an appropriate procedure may be more important for the typically small to moderate-sized breasts characteristic of Asian females unlike Westerners.<br />Level of Evidence Iv: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .<br /> (© 2023. Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery.)
- Subjects :
- Humans
Female
Retrospective Studies
Middle Aged
Adult
Prognosis
Cohort Studies
Esthetics
Mammaplasty methods
Treatment Outcome
Risk Assessment
Neoplasm Staging
Breast Neoplasms surgery
Breast Neoplasms pathology
Mastectomy, Segmental methods
Patient Reported Outcome Measures
Patient Satisfaction statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1432-5241
- Volume :
- 48
- Issue :
- 16
- Database :
- MEDLINE
- Journal :
- Aesthetic plastic surgery
- Publication Type :
- Academic Journal
- Accession number :
- 37821554
- Full Text :
- https://doi.org/10.1007/s00266-023-03631-5