Midwest Surgical AssociationSurgical, oncologic, and cosmetic differences between oncoplastic and nononcoplastic breast conserving surgery in breast cancer patients
Section snippets
Methods
A retrospective review featuring an observational, cohort study design was conducted from a single breast surgeon's records of patients treated with BCS. Medical records of patients diagnosed with breast cancer who underwent a lumpectomy between December 1, 2006 and April 30, 2011 were evaluated to determine if they qualified for study inclusion. Eligible patients were 18 years of age or older, female, and had been treated with lumpectomy, either oncoplastic or nononcoplastic. Subjects were
Results
A total of 140 patients met inclusion criteria and these women underwent 142 lumpectomies. One patient had bilateral cancer and underwent bilateral oncoplastic lumpectomies. An additional patient developed cancer in the contralateral breast at a later date, but still within the study period. There were 58 (40.8%) oncoplastic lumpectomies. Fourteen patients had therapeutic mammoplasty, 43 had adjacent tissue transfer, and 5 had donut mastopexy. Some of these patients received a mixture of
Comments
Oncoplastic lumpectomies have recently become an option for the surgical treatment of breast cancer, but the procedures do require additional time, specialist training, and, overall, can be technically and surgically demanding. This study is unique since it specifically compares both immediate and long-term complications of oncoplastic lumpectomies.
Conclusions
An overall benefit of oncoplastic lumpectomy is that it provides certain patients with more choices for the management of their breast cancer. It offers these patients options that are not only aesthetically more pleasing, but may provide oncological benefit as well. Through this analysis, it has been shown that only minor differences exist between the immediate and long-term complications of the 2 groups; therefore, oncoplastic lumpectomy should be considered a safe alternative for selected
References (10)
- et al.
Outcome of oncoplastic breast surgery in 90 prospective patients
Am J Surg
(2010) - et al.
Bilateral reduction mammoplasty in combination with lumpectomy for treatment of breast cancer in patients with macromastia
Am J Surg
(2004) - et al.
The influence of breast size on late radiation effects and association with radiotherapy dose inhomogeneity
Radiother Oncol
(1994) - et al.
The influence of breast size on late radiation reaction following excision and radiotherapy for early breast cancer
Clin Oncol (R Coll Radiol)
(1991) - et al.
Long-term oncological results of breast conservative treatment with oncoplastic surgery
Breast
(2007)
Cited by (91)
The American Society of Breast Surgeons classification system for oncoplastic breast conserving surgery independently predicts the risk of delayed wound healing
2023, European Journal of Surgical OncologyBreast Reconstruction with Tissue Engineering and Regenerative Medicine
2023, Comprehensive Structural IntegrityEffect of standardised surgical assessment and shared decision-making on morbidity and patient satisfaction after breast conserving therapy: A cross-sectional study
2023, European Journal of Surgical OncologyExtreme Oncoplastic Breast Surgery: A case series of three patients from a lower-middle income country
2022, Annals of Medicine and SurgeryTen-year results of hypofractionated whole breast radiotherapy and intraoperative electron boost in premenopausal women
2022, Radiotherapy and Oncology
The authors declare no conflicts of interest.