Comparative Study of Surgical Margins and Cosmetic Outcome in Lumpectomy versus Segmental Resection in Breast Cancer

Eggemann, Holm; Ignatov, Atanas; Krocker, J.; Neuss, K.; Elling, Dirk; John, J.; Costa, Serban Dan

doi:10.1159/000333090

Cited by 4 publications

(2 citation statements)

References 52 publications

(32 reference statements)

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“…Studies demonstrate that the overall disease-free survival from BC is equivalent for mastectomy and BCT along with postoperative radiotherapy; especially in women with early stage BC (Stages I and II) [8]. BCT can be performed in larger tumors as compared to lumpectomy [9]. OBS may have an inferior long-term oncological result in comparison [10].…”

Section: Resultsmentioning

confidence: 99%

From Radical Mastectomy to Breast-Conserving Therapy and Oncoplastic Breast Surgery: A Narrative Review Comparing Oncological Result, Cosmetic Outcome, Quality of Life, and Health Economy

et al. 2013

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Surgical management of breast cancer has evolved considerably over the last two decades. There has been a major shift toward less-invasive local treatments, from radical mastectomy to breast-conserving therapy (BCT) and oncoplastic breast surgery (OBS). In order to investigate the efficacy of each of the three abovementioned methods, a literature review was conducted for measurable outcomes including local recurrence, survival, cosmetic outcome, quality of life (QOL), and health economy. From the point of view of oncological result, there is no difference between mastectomy and BCT in local recurrence rate and survival. Long-term results for OBS are not available. The items assessed in the QOL sound a better score for OBS in comparison with mastectomy or BCT. OBS is also associated with a better cosmetic outcome. Although having low income seems to be associated with lower BCT and OBS utilization, prognosis of breast cancer is worse in these women as well. Thus, health economy is the matter that should be studied seriously. OBS is an innovative, progressive, and complicated subspeciality that lacks published randomized clinical trials comparing surgical techniques and objective measures of outcome, especially from oncologic and health economy points of view.

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Section: Resultsmentioning

confidence: 99%

From Radical Mastectomy to Breast-Conserving Therapy and Oncoplastic Breast Surgery: A Narrative Review Comparing Oncological Result, Cosmetic Outcome, Quality of Life, and Health Economy

et al. 2013

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“…Breast reconstruction is considered fundamental in breast cancer surgery . In the context of strictly conservative surgery, approaches to lumpectomy are increasingly refined and carefully planned, with the intent to combine as better as possible oncologic and cosmetic‐reconstructive requirements .…”

Section: Discussionmentioning

confidence: 99%

Periareolar Approach in Oncoplastic Breast Conservative Surgery

et al. 2016

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Breast cancer represents the most frequent cancer in female population. Nowadays breast conservative surgery (BCS) is an accepted option for breast malignancies, and its indications has been extended thanks to the advent of oncoplastic surgery, reducing both mastectomy and re-excision rate, avoiding at the same time breast deformities. From January 2008 to November 2011, 84 women underwent BCS with periareolar approach for oncoplastic volume replacement. We divided patients into four groups analyzing breast size and resection volume (Group 1: small-moderate sized breast with resection <20%; Group 2: small-moderate sized breast with resection >20%; Group 3: big sized breast with resection <20%; Group 4: big sized breast with resection >20%). We evaluated patients' satisfaction regarding final esthetic outcome using the specific module "Satisfaction with outcome" of the Breast-Q questionnaire 1 year after surgery. The mean age was 52.1 years, and the mean follow-up was 11.2 months. During the follow-up, 12 patients have been lost. We obtained high satisfaction mean value with Breast-Q questionnaire in each group: 75.8 in group 1, 63.4 in group 2, 81.1 in group 3, 69.7 in group 4. Periareolar approach as oncoplastic volume replacement technique is useful in correction of breast deformity after BCS: it is a versatile technique that can be easily adapted for any breast tumor location and for wide glandular resection.

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Clinical Implications of Growth Pattern and Extension of Tumor-Associated Intraductal Carcinoma of the Breast

Eggemann

Kalinski

Ruhland

et al. 2015

Clinical Breast Cancer

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Comparative Study of Surgical Margins and Cosmetic Outcome in Lumpectomy versus Segmental Resection in Breast Cancer

Cited by 4 publications

References 52 publications

From Radical Mastectomy to Breast-Conserving Therapy and Oncoplastic Breast Surgery: A Narrative Review Comparing Oncological Result, Cosmetic Outcome, Quality of Life, and Health Economy

From Radical Mastectomy to Breast-Conserving Therapy and Oncoplastic Breast Surgery: A Narrative Review Comparing Oncological Result, Cosmetic Outcome, Quality of Life, and Health Economy

Periareolar Approach in Oncoplastic Breast Conservative Surgery

Clinical Implications of Growth Pattern and Extension of Tumor-Associated Intraductal Carcinoma of the Breast

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