Patty L Tenofsky1, Phaedra Dowell2, Terri Topalovski2, Stephen D Helmer3. 1. Department of Surgery, The University of Kansas School of Medicine - Wichita, 929 North Saint Francis Street, Room 3082, Wichita, KS 67214, USA; Via Christi Clinic, 1947 Founders' Circle Drive, Wichita, KS 67206, USA. Electronic address: Patty.Tenofsky@viachristi.org. 2. Department of Surgery, The University of Kansas School of Medicine - Wichita, 929 North Saint Francis Street, Room 3082, Wichita, KS 67214, USA. 3. Department of Surgery, The University of Kansas School of Medicine - Wichita, 929 North Saint Francis Street, Room 3082, Wichita, KS 67214, USA; Department of Medical Education, Via Christi Hospitals Wichita, 929 North Saint Francis Street, Room 3082, Wichita, KS 67214, USA.
Abstract
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 = 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.
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 = 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 cancerpatients.
Authors: Ross Dolan; Meera Patel; Eva Weiler-Mithoff; James Mansell; Sheila Stallard; Julie C Doughty; Laszlo Romics Journal: Breast Care (Basel) Date: 2015-08-21 Impact factor: 2.860
Authors: Ida Oberhauser; Jasmin Zeindler; Mathilde Ritter; Jeremy Levy; Giacomo Montagna; Robert Mechera; Savas Deniz Soysal; Liliana Castrezana López; Veronica D'Amico; Elisabeth Artemis Kappos; Fabienne Dominique Schwab; Madleina Müller; Christian Kurzeder; Martin Haug; Walter Paul Weber Journal: Breast Care (Basel) Date: 2020-11-25 Impact factor: 2.860
Authors: Natalie R Almeida; Fabrício P Brenelli; Cesar C Dos Santos; Renato Z Torresan; Júlia Y Shinzato; Cassio Cardoso-Filho; Giuliano M Duarte; Nicoli S de Azevedo; Luiz Carlos Zeferino Journal: JPRAS Open Date: 2021-06-06