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. 2023 Sep 11;23(1):273.
doi: 10.1186/s12893-023-02182-5.

V体育ios版 - Oncoplastic breast conserving surgery versus standard breast conserving surgery for early and locally advanced breast cancer: a retrospective analysis from Sri Lanka

Kanchana Wijesinghe  1 , Thilanka Abeywickrama  2 , Yohan Chamara  3 , Sumali De Silva  2 , Sebastianpillai Tharshan  2 , Umesh Jayarajah  4 , Ajith De Silva  2
Affiliations

Oncoplastic breast conserving surgery versus standard breast conserving surgery for early and locally advanced breast cancer: a retrospective analysis from Sri Lanka

Kanchana Wijesinghe et al. BMC Surg. .

VSports注册入口 - Abstract

Background: Breast aesthetics is becoming increasingly important in breast cancer surgery due to changes in patient expectations and greater emphasis been placed on the psychosocial outcomes. Studies have shown no difference in local recurrence risk between mastectomy and breast conserving surgery (BCS) and also a higher overall survival rate after BCS. Breast preservation improves the quality of life substantially compared to mastectomy VSports手机版. Oncoplastic breast-conserving surgery (O-BCS) involves tumour excision whilst overcoming the limitations of standard breast conserving surgery (S-BCS) by allowing larger resection volumes, avoiding deformities with better aesthetic results. Our study aims to compare the oncosurgical and aesthetic outcomes of O-BCS versus S-BCS among women in Sri Lanka. .

Methods: We conducted a retrospective study over a 4-year period including patients who underwent breast conservation surgery for primary non-metastatic breast cancer in two tertiary care units. We assessed outcomes in terms of re-excision rates, resection margin, complications and aesthetic outcomes using a Likert scale questionnaire to grade specific outcomes such as symmetry, volume, nipple position, scar visibility V体育安卓版. Non-parametric tests were used for statistical analyses. .

Results: Fifty-four and seventy-three patients underwent S-BCS and O-BCS respectively. The median specimen volume and the maximum tumour diameter were significantly higher in O-BCS [160(range:65-220); 4. 2(range: 1. 2-5. 2)] compared to S-BCS [65(range:45-86); 2. 4(range: 1. 0-2. 6)]. The median closest tumour margin was 16 mm (range:4-25 mm) in O-BCS while 6 mm (range:<1 - 12 mm) in S-BCS (p = 0. 01). Close (< 1 mm) and positive margins needing re-excision were seen mostly in S-BCS. Superior aesthetic outcomes with statistical significant difference were reported in the O-BCS compared to S-BCS group with better symmetry, volume, nipple position and scar visibility. The re-excision rates were significantly lower in O-BCS group. There was no significant difference in the operative time and complications while the aesthetic outcomes were significantly superior in OBCS. V体育ios版.

Conclusions: Overall, Level 2 perforator flap based reconstruction had superior aesthetic outcomes. O-BCS is safe and more aesthetically acceptable with no difference in oncological outcome and operative time VSports最新版本. More consideration should be given to aesthetic parameters such as scar visibility, nipple position, breast volume and shape when considering the best surgical option for the patients. .

Keywords: Aesthetic outcomes; Breast cancer; Breast conserving surgery; Oncoplasty; Oncosurgical outcomes V体育平台登录. .

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"VSports最新版本" Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Patient who has undergone S-BCS with visible scar and difference in breast volume and nipple position
Fig. 2
Fig. 2
A patient who has undergone O-BCS with matrix rotation technique. Although the scar is visible, this technique helps to maintain breast shape, symmetry and nipple position
Fig. 3
Fig. 3
Bi-lobed flap based O-BCS for a patient who declined reduction mammoplasty and wished to retain the breast shape and size
Fig. 4
Fig. 4
Intraoperative and post-operative (6 months) images of a patient who underwent LICAP flap based O-BCS. There is minimal scar visibility with symmetrical breast volume and shape
Fig. 5
Fig. 5
Pre-operative and post-operative (6 months) images of a patient who underwent LTAP flap based O-BCS. There is minimal scar visibility with symmetrical breast volume and shape
Fig. 6
Fig. 6
Comparison of the median values of the aesthetic outcome – Independent specialist assessment at one year
Fig. 7
Fig. 7
Comparison of the median values of the aesthetic outcome – Patient reported outcome measurement at one year
Fig. 8
Fig. 8
Box plot comparing the median values of the aesthetic outcomes in relation to age and type of surgery
See this image and copyright information in PMC

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