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 language | English |
|---|---|
| Pages (from-to) | 2500-2508 |
| Number of pages | 9 |
| Journal | Annals of Surgical Oncology |
| Volume | 22 |
| Issue number | 8 |
| DOIs | |
| Publication status | Published - Dec 18 2014 |
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ASJC Scopus subject areas
- Surgery
- Oncology
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Long-Term Comparison of Aesthetical Outcomes After Oncoplastic Surgery and Lumpectomy in Breast Cancer Patients. / Santos, Gabriela; Urban, Cicero; Edelweiss, Maria Isabel; Zucca-Matthes, Gustavo; de Oliveira, Vilmar Marques; Arana, Gabriel Hubner; Iera, Marco; Rietjens, Mario; de Lima, Rubens Silveira; Spautz, Cleverton; Kuroda, Flávia; Anselmi, Karina; Capp, Edison.
In: Annals of Surgical Oncology, Vol. 22, No. 8, 18.12.2014, p. 2500-2508.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Long-Term Comparison of Aesthetical Outcomes After Oncoplastic Surgery and Lumpectomy in Breast Cancer Patients
AU - Santos, Gabriela
AU - Urban, Cicero
AU - Edelweiss, Maria Isabel
AU - Zucca-Matthes, Gustavo
AU - de Oliveira, Vilmar Marques
AU - Arana, Gabriel Hubner
AU - Iera, Marco
AU - Rietjens, Mario
AU - de Lima, Rubens Silveira
AU - Spautz, Cleverton
AU - Kuroda, Flávia
AU - Anselmi, Karina
AU - Capp, Edison
PY - 2014/12/18
Y1 - 2014/12/18
N2 - 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
AB - 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
UR - http://www.scopus.com/inward/record.url?scp=84938288027&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84938288027&partnerID=8YFLogxK
U2 - 10.1245/s10434-014-4301-6
DO - 10.1245/s10434-014-4301-6
M3 - Article
C2 - 25519931
AN - SCOPUS:84938288027
VL - 22
SP - 2500
EP - 2508
JO - Annals of Surgical Oncology
JF - Annals of Surgical Oncology
SN - 1068-9265
IS - 8
ER -