Surgical, oncologic, and cosmetic differences between oncoplastic and nononcoplastic breast conserving surgery in breast cancer patients

被引：85

作者：

Tenofsky, Patty L. ^{[1
,2
]}

Dowell, Phaedra ^{[1
]}

Topalovski, Terri ^{[1
]}

Helmer, Stephen D. ^{[1
,3
]}

机构：

[1] Univ Kansas, Sch Med Wichita, Dept Surg, Wichita, KS 67214 USA

[2] Via Christi Clin, Wichita, KS 67206 USA

[3] Via Christi Hosp Wichita, Dept Med Educ, Wichita, KS 67214 USA

来源：

AMERICAN JOURNAL OF SURGERY | 2014年 / 207卷 / 03期

关键词：

Breast; Oncoplasty; Lumpectomy; Complication; Short term; Long term; REDUCTION MAMMAPLASTY; THERAPY;

D O I：

10.1016/j.amjsurg.2013.09.017

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

BACKGROUND: There is a lack of information regarding the safety, complication rate, and cosmetic outcome of oncoplastic breast conserving surgery. The purpose of this study is to evaluate and compare oncoplastic and nononcoplastic procedures. METHODS: A retrospective review was conducted of patients treated with oncoplastic or nononcoplastic lumpectomies. Immediate and long-term complication rates and cosmetic satisfaction were compared. RESULTS: Of the 142 surgeries, 58 were oncoplastic lumpectomies (40.8%). Oncoplastic patients were younger than nononcoplastic patients (60.9 vs 65.2 years, P = .043). Immediate complications were similar with the exception of nonhealing wounds (oncoplastic = 8.6% vs nononcoplastic 5 1.2%, P = .042). Cosmetic complaints were similar, but fat necrosis was more common in the oncoplastic group (25.9% vs 9.5%, P = .009). Time to radiation and number of future biopsies were similar between the groups. CONCLUSION: Oncoplastic lumpectomy is a safe alternative to standard lumpectomy for selected breast cancer patients. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：398 / 402

页数：5

共 10 条

[1]

Brierley J D, 1991, Clin Oncol (R Coll Radiol), V3, P6

[2] Bilateral reduction mammoplasty in combination with lumpectomy for treatment of breast cancer in patients with macromastia [J].

Chang, E ;

Johnson, N ;

Webber, B ;

Booth, J ;

Rahhal, D ;

Gannett, D ;

Johnson, W ;

Franzini, D ;

Zegzula, H .

AMERICAN JOURNAL OF SURGERY, 2004, 187 (05) :647-650

[3] Oncoplastic techniques allow extensive resections for breast-conserving therapy of breast carcinomas [J].

Clough, KB ;

Lewis, JS ;

Couturaud, B ;

Fitoussi, A ;

Nos, C ;

Falcou, MC .

ANNALS OF SURGERY, 2003, 237 (01) :26-34

[4] Comparative study of surgical margins in oncoplastic surgery and quadrantectomy in breast cancer [J].

Kaur, N ;

Petit, JY ;

Rietjens, M ;

Maffini, F ;

Luini, A ;

Gatti, G ;

Rey, PC ;

Urban, C ;

De Lorenzi, F .

ANNALS OF SURGICAL ONCOLOGY, 2005, 12 (07) :539-545

[5] Optimizing Conservative Breast Surgery [J].

Margenthaler, Julie A. .

JOURNAL OF SURGICAL ONCOLOGY, 2011, 103 (04) :306-312

[6] Therapeutic mammaplasty - analysis of 50 consecutive cases [J].

McCulley, SJ ;

Macmillan, RD .

BRITISH JOURNAL OF PLASTIC SURGERY, 2005, 58 (07) :902-907

[7] Outcome of oncoplastic breast surgery in 90 prospective patients [J].

Meretoja, Tuomo J. ;

Svarvar, Catarina ;

Jahkola, Tiina A. .

AMERICAN JOURNAL OF SURGERY, 2010, 200 (02) :224-228

[8] THE INFLUENCE OF BREAST SIZE ON LATE RADIATION EFFECTS AND ASSOCIATION WITH RADIOTHERAPY DOSE INHOMOGENEITY [J].

MOODY, AM ;

MAYLES, WPM ;

BLISS, JM ;

AHERN, RP ;

OWEN, JR ;

REGAN, J ;

BROAD, B ;

YARNOLD, JR .

RADIOTHERAPY AND ONCOLOGY, 1994, 33 (02) :106-112

[9] Long-term oncological results of breast conservative treatment with oncoplastic surgery [J].

Rietjens, M. ;

Urban, C. A. ;

Rey, P. C. ;

Mazzarol, G. ;

Maisonneuve, P. ;

Garusi, C. ;

Intra, M. ;

Yamaguchi, S. ;

Kaur, N. ;

De Lorenzi, F. ;

Matthes, A. G. Z. ;

Zurrida, S. ;

Petit, J. Y. .

BREAST, 2007, 16 (04) :387-395

[10] Experience with reduction mammaplasty combined with breast conservation therapy in the treatment of breast cancer [J].

Spear, SL ;

Pelletiere, CV ;

Wolfe, AJ ;

Tsangaris, TN ;

Pennanen, MF .

PLASTIC AND RECONSTRUCTIVE SURGERY, 2003, 111 (03) :1102-1109

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