Idam de Oliveira-Junior1,2, Igor de Araujo da Silva1,3, Fabíola Cristina Brandini da Silva3,4, Jonathas José da Silva3,4, Almir José Sarri4, Carlos Eduardo Paiva3,5, René Aloisio da Costa Vieira1,2,3. 1. Department of Mastology and Breast Reconstruction, Barretos Cancer Hospital, Sao Paulo, Brazil. 2. Postgraduate Program of Gynecology, Obstetrics and Mastology, Botucatu Medical School, Sao Paulo State University - UNESP, Sao Paulo, Brazil. 3. Postgraduate Program of Oncology, Barretos Cancer Hospital, Sao Paulo, Brazil. 4. Department of Physiotherapy, Barretos Cancer Hospital, Sao Paulo, Brazil. 5. Department of Clinical Oncology, Barretos Cancer Hospital, Sao Paulo, Brazil.
Abstract
BACKGROUND: Breast-conserving treatment (BCT) provides better quality of life (QL) than mastectomy without reconstruction. Oncoplastic surgery (OS) encompasses a series of surgical techniques, increasing the indications for BCT, but few studies have evaluated the impact on QL in patients who undergo BCT with OS. MATERIALS AND METHODS: A prospective, cross-sectional study was conducted in women who underwent BCT. We evaluated the characteristics of patients who underwent BCT with and without OS and the associated QL. QL was assessed through the EORTC QLQ-30, EORTC QLQ-BR23, and Breast Cancer Treatment Outcome Scale (BCTOS) questionnaires. RESULTS: A total of 300 patients underwent BCT, 72 underwent breast OS, and 37 underwent bilateral surgery. Patients who underwent OS were younger (p = 0.004), had a higher level of education (p = 0.01), had a smaller time interval since the end of treatment (p = 0.02), had tumours with greater dimensions (p = 0.003), and were more likely to receive neoadjuvant chemotherapy (p = 0.05). Based on the QL questionnaires, no difference was observed between the groups. Breast symmetry was not associated with high patient satisfaction (p = 0.55). CONCLUSION: Despite the fact that OS was performed in patients with worse tumour conditions and in more demanding patients, OS allowed similar cosmetic results to classical BCT.
BACKGROUND: Breast-conserving treatment (BCT) provides better quality of life (QL) than mastectomy without reconstruction. Oncoplastic surgery (OS) encompasses a series of surgical techniques, increasing the indications for BCT, but few studies have evaluated the impact on QL in patients who undergo BCT with OS. MATERIALS AND METHODS: A prospective, cross-sectional study was conducted in women who underwent BCT. We evaluated the characteristics of patients who underwent BCT with and without OS and the associated QL. QL was assessed through the EORTC QLQ-30, EORTC QLQ-BR23, and Breast Cancer Treatment Outcome Scale (BCTOS) questionnaires. RESULTS: A total of 300 patients underwent BCT, 72 underwent breast OS, and 37 underwent bilateral surgery. Patients who underwent OS were younger (p = 0.004), had a higher level of education (p = 0.01), had a smaller time interval since the end of treatment (p = 0.02), had tumours with greater dimensions (p = 0.003), and were more likely to receive neoadjuvant chemotherapy (p = 0.05). Based on the QL questionnaires, no difference was observed between the groups. Breast symmetry was not associated with high patient satisfaction (p = 0.55). CONCLUSION: Despite the fact that OS was performed in patients with worse tumour conditions and in more demanding patients, OS allowed similar cosmetic results to classical BCT.
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Authors: René Aloisio da Costa Vieira; Fabíola Cristina Brandini da Silva; Maria Elis Sylvestre Silva; Jonathas José da Silva; Almir José Sarri; Carlos Eduardo Paiva Journal: Rev Assoc Med Bras (1992) Date: 2018-07 Impact factor: 1.209
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