Long-Term Comparison of Aesthetical Outcomes After Oncoplastic Surgery and Lumpectomy in Breast Cancer Patients

Gabriela Santos, Cicero Urban, Maria Isabel Edelweiss, Gustavo Zucca-Matthes, Vilmar Marques de Oliveira, Gabriel Hubner Arana, Marco Iera, Mario Rietjens, Rubens Silveira de Lima, Cleverton Spautz, Flávia Kuroda, Karina Anselmi, Edison Capp

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Lumpectomy may result in major deformities and asymmetries in approximately one-third of patients. Although oncoplastic surgery (OP) could be a useful alternative to avoid them, lack of strong data is causing some debate. The purpose of this study was to compare aesthetic outcomes in patients undergoing OP versus lumpectomy using three different assessment methods. Methods: A total of 122 patients were included in this cross-sectional multicentric study; 57 underwent OP (46.7 %), and 65 underwent lumpectomy (53.3 %). Two breast surgeons and two plastic surgeons from different institutions using the Garbay scale independently evaluated aesthetic outcomes. BCCT.core software was applied in both groups, and the patients evaluated their aesthetic outcomes answering a questionnaire about their satisfaction rate. Results: OP group had a higher proportion of excellent aesthetic results according to the BCCT.core software analysis (p = 0.028) and the specialists (p = 0.002). Multifactorial analyses showed that age ≥70 years (RP = 6.02; 95 % confidence interval [CI] 1.73–21.0; p = 0.005), tumors in the medial, inferior, and central quadrants (RP = 4.21; 95 % CI 1.88–9.44; p 

Original languageEnglish
Pages (from-to)2500-2508
Number of pages9
JournalAnnals of Surgical Oncology
Volume22
Issue number8
DOIs
Publication statusPublished - Dec 18 2014

ASJC Scopus subject areas

  • Surgery
  • Oncology

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