Cosmetic evaluation of breast conserving treatment for mammary cancer. 1. Proposal of a quantitative scoring system

Limbergen, Erik; Schueren, Emmanuel van der; Tongelen, K. Van

doi:10.1016/0167-8140(89)90016-9

Cited by 142 publications

(102 citation statements)

References 14 publications

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“…Above 50 Gy, increases in dose of 1 Gy correlated with an average nipple displacement of 1 mm in upward direction and 0.75 mm medially. 23 Although it appears the use of radiation itself has a negative impact on cosmesis, the overall effect is dependent upon the radiation technique applied.…”

Section: Abstract: Reconstruction Breast Conservation Deformitymentioning

confidence: 99%

Reconstruction of the Breast Conservation Deformity

Slavin

Halperin

2004

Seminars in Plastic Surgery

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The era of breast conserving treatment of early-stage breast carcinoma has created reconstructive challenges for the plastic surgeon. Although good to excellent cosmetic outcomes occur in the majority of patients, a significant number could benefit from additional reconstructive measures. Because of the need for continuing surveillance following breast-conserving therapy, estimated at 5-10% after fifteen years, plastic surgeons should choose techniques that do not interfere with the detection of recurrent breast carcinoma. Myocutaneous flaps-in particular, the latissimus dorsi and transverse rectus abdominishave fulfilled the reconstructive needs of these patients by providing well-vascularized soft tissue. Postoperative radiological evaluation has demonstrated that these flaps are radiolucent, unlike breast implants that can obscure accurate mammographic interpretation.Myocutaneous flaps have been used for both immediate and delayed reconstruction of post-breast conservation deformities. The delayed approach offers the benefit of an established contour deformity that usually involves cutaneous, parenchymal, and nippleareolar components. Moderate overcorrection of the defect has been advocated in anticipation of ongoing postradiation wound contraction and fibrosis. Immediate reconstruction of lumpectomy and partial mastectomy defects permits wider initial excision of the breast lesion, but can be compromised by positive histological margins. Long-term results suggest stability of the aesthetic outcome following reconstruction of delayed deformities.

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Section: Abstract: Reconstruction Breast Conservation Deformitymentioning

confidence: 99%

Reconstruction of the Breast Conservation Deformity

Slavin

Halperin

2004

Seminars in Plastic Surgery

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“…However, results of subjective evaluation show only a modest interobserver agreement, even when performed by experts [7,8]. Objective methods use measurements taken directly from the patient or from photographs, and are based essentially on asymmetries between treated and non-treated breasts [9,10]. Until now they have not been widely used in clinical practice, probably due to the absence of photographic documentation in most treated patients [11].…”

Section: Introductionmentioning

confidence: 99%

Comparing two objective methods for the aesthetic evaluation of breast cancer conservative treatment

Cardoso

Wild

et al. 2008

Breast Cancer Res Treat

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“…A escala mais usada é a Escala 25 . Em 1989, Van Limbergen usou um método idêntico, aplicando a fotografias, e levando em consideração outros dois aspectos: o contorno inferior da mama e a elevação do mamilo 26 . A mesma linha foi seguida por vários autores em estudos mais recentes 14,15 .…”

Section: Resultados Estéticosunclassified

Avaliação dos resultados estéticos e de qualidade de vida após tratamento cirúrgico do câncer de mama

Santos¹,

Úrban²,

Edelweiss³

et al. 2013

Rev. Bras. Mastol.

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RESUMONos últimos anos, observamos tratamentos cada vez mais conservadores, tanto na mama, como na axila, com uma ampliação nos critérios de cirurgias conservadoras, associação das técnicas de oncoplástica, tratamentos radioterápicos mais direcionados e tratamentos quimioterápicos e hormonais menos agressivos. Todos esses esforços têm como objetivo central melhorar os resultados estéticos e a qualidade de vida das pacientes com câncer de mama. Portanto, tanto a avaliação dos resultados estéticos como da qualidade de vida podem auxiliar os profissionais de saúde e as pacientes nas tomadas de decisões e na abordagem de problemas específicos. Entretanto ainda existem limitações importantes nos métodos existentes de avaliação e o objetivo desta revisão foi apresentar os mesmos, bem como trazer suas principais vantagens e dificuldades para sua aplicação. ABSTRACT In the past years, it is observed that breast cancer treatment is becoming more conservative in the breast

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Cosmetic evaluation of breast conserving treatment for mammary cancer. 1. Proposal of a quantitative scoring system

Cited by 142 publications

References 14 publications

Reconstruction of the Breast Conservation Deformity

Reconstruction of the Breast Conservation Deformity

Comparing two objective methods for the aesthetic evaluation of breast cancer conservative treatment

Avaliação dos resultados estéticos e de qualidade de vida após tratamento cirúrgico do câncer de mama

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