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Oncoplastic partial breast reconstruction improves patient satisfaction and aesthetic outcome for central breast tumours
- Source :
- ANZ journal of surgery. 89(5)
- Publication Year :
- 2018
-
Abstract
- Background Patients with centrally located tumours involving the nipple-areolar complex (NAC) who undergo breast-conserving treatment (BCT) are at high risk for breast deformity and asymmetry. Immediate oncoplastic breast reconstruction (OBR) can have a favourable impact on surgical outcome. Methods We retrospectively compared aesthetic outcomes and patient satisfaction among women treated with NAC lumpectomy and immediate OBR with patients treated with BCT alone. Aesthetic outcome was evaluated by independent observers, and patient satisfaction was assessed by the BREAST-Q questionnaire. Results A total of 24 patients were studied, 12 in each group. Demographics and oncological staging were similar in both groups, apart from mean age, hypertension and tumour size/lumpectomy weight. Patients in the OBR group had higher scores for aesthetic outcome and a higher degree of patient satisfaction from the surgical outcome compared to the patients in the BCT-alone group. Conclusions The immediate OBR approach in the treatment of centrally located tumours with NAC resection has clear advantages over BCT alone. This approach should be considered for and offered to suitable patients.
- Subjects :
- medicine.medical_specialty
Esthetics
Settore MED/18 - CHIRURGIA GENERALE
medicine.medical_treatment
Mammaplasty
Breast Neoplasms
Mastectomy, Segmental
Outcome (game theory)
Resection
03 medical and health sciences
Breast cancer
0302 clinical medicine
Patient satisfaction
Surveys and Questionnaires
Oncoplastic surgery
Treatment
medicine
Humans
Aged
Retrospective Studies
Aged, 80 and over
business.industry
General surgery
Lumpectomy
Breast tumours
General Medicine
Middle Aged
Partial breast
Surgery
Oncoplastic Surgery
Treatment Outcome
Patient Satisfaction
030220 oncology & carcinogenesis
030211 gastroenterology & hepatology
Female
business
Breast reconstruction
Subjects
Details
- ISSN :
- 14452197
- Volume :
- 89
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- ANZ journal of surgery
- Accession number :
- edsair.doi.dedup.....41a066958a05e57ae9884d039bf91975