Recommendations for the aesthetic evaluation of breast cancer conservative treatment

Cardoso, Maria João; Cardoso, Jaime S.; Vrieling, Conny; Macmillan, Douglas; Rainsbury, Dick; Heil, Joerg; Hau, Eric; Keshtgar, Mohammed

doi:10.1007/s10549-012-1978-8

Cited by 82 publications

(85 citation statements)

References 79 publications

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“…Entretanto, a sua reprodutibilidade é baixa, visto que reflete, muitas vezes, a sua adaptação psicossocial com seu resultado estético, e está diretamente relacionada a vários fatores, como idade e nível socioeconômico. Estudos que compararam as avaliações feitas pelas pacientes e por observadores externos, mostraram que as pacientes em geral consideravam seus resultados mais favoráveis que os observadores [14][15][16][17] . A avaliação estética feita pela paciente pode, muitas vezes, ser confundida com QV.…”

Section: Resultados Estéticosunclassified

“…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 . Novas abordagens têm surgido nos últimos anos, decorrentes de dois grupos europeus de pesquisa.…”

Section: Resultados Estéticosunclassified

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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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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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“…Recommendations for both objective and subjective evaluations are currently being developed (19). The European Organization for Research and Treatment of Cancer (EORTC) supports a combination of qualitative and quantitative evaluations and suggests a panel with a minimum of five members for subjective evaluation (20).…”

Section: Discussionmentioning

confidence: 99%

The Approach of General Surgeons to Oncoplastic and Reconstructive Breast Surgery in Turkey: A Survey of Practice Patterns

Emiroğlu¹,

Sert

Inal

et al. 2015

Balkan Med J

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With the wide acceptance of Fisher's theory that breast cancer is a systemic disease from the start and in the light of improvements in adjuvant treatment, the role of surgery in the treatment of cancer was expected to gradually decrease (1). However today's surgical treatment of breast cancer has developed into oncoplastic and reconstructive surgery (Oncoplastic Breast Surgery (OBS) + Reconstructive Breast Surgery (RBS) = ORBS). Besides establishing ideal regional oncological control, surgeons are often faced with the difficulties of conserving breast aesthetics or achieving optimal results. In a meta-analysis, Losken et al. reported that the rate of surgical margin involvement was 12.3% and 20.6% for patients who underwent OBS and Breast Conserving Surgery (BCS), respectively. In addition, they reported local recurrence rates of 3.6-4.7% and 7% for OBS and BCS, respectively (2). In another study comparing oncological outcomes for BCS and OBS, they reported tumour sizes of 17 mm and 24 mm, surgical margins of 6 mm and 14 mm, and rates of re-excision of 29% and 5.4%, respectively. They suggested that OBS has a positive effect on oncological perspective in breast cancer surgery (3).The Turkish Federation of Breast Disease Societies (TFBDS) made recommendations regarding ORBS at their first Breast Cancer Consensus Meeting in 2006 (4). In TurBackground: Oncoplastic Breast Surgery (OBS), which is a combination of oncological procedures and plastic surgery techniques, has recently gained widespread use. Aims: To assess the experiences, practice patterns and preferred approaches to Oncoplastic and Reconstructive Breast Surgery (ORBS) undertaken by general surgeons specializing in breast surgery in Turkey. Study Design: Cross-sectional study. Methods: Between December 2013 and February 2014, an elevenquestion survey was distributed among 208 general surgeons specializing in breast surgery. The questions focused on the attitudes of general surgeons toward performing oncoplastic breast surgery (OBS), the role of the general surgeon in OBS and their training for it as well as their approaches to evaluating cosmetic outcomes in Breast Conserving Surgery (BCS) and informing patients about ORBS preoperatively. Results:Responses from all 208 surgeons indicated that 79.8% evaluated the cosmetic outcomes of BCS, while 94.2% informed their patients preoperatively about ORBS. 52.5% performed BCS (31.3% themselves, 21.1% together with a plastic surgeon). 53.8% emphasized that general surgeons should carry out OBS themselves. 36.1% of respondents suggested that OBS training should be included within mainstream surgical training, whereas 27.4% believed this training should be conducted by specialised centres. Conclusion: Although OBS procedure rates are low in Turkey, it is encouraging to see general surgeons practicing ORBS themselves. The survey demonstrates that our general surgeons aspire to learn and utilize OBS techniques.

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Section: Oncologic and Esthetic Evaluationmentioning

confidence: 99%

“…There is no consensus on methods or timing of postoperative breast aesthetic evaluation (66). Aesthetic evaluation methods by the patient, surgeon or panel consisting of 3-5 person have been described (53,66). Although the patient's perception and aesthetic evaluation are important, successful methods such as BREAST Q have been developed for objective aesthetic evaluation (67).…”

Section: Oncologic and Esthetic Evaluationmentioning

confidence: 99%

The Role of Oncoplastic Breast Surgery in Breast Cancer Treatment

Emiroğlu¹,

Sert²,

Inal

2015

J Breasth Health

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The aim of this study is to discuss indications, advantages, disadvantages, oncologic and aesthetic results of Oncoplastic Surgery (OBS). Pubmed and Medline database were searched for articles published between 1998 and 2014 for keywords: oncoplastic breast surgery, therapeutic mammoplasty, oncoplastic breast reduction, synchrenous reconstructions. Role of OBS in breast cancer surgery, its aspects to be considered, its value and results have been interpreted. This technique has advantages by providing more extensive tumourectomy, yielding better aesthetic results compared with breast conserving surgery, allowing oncoplastic reduction in breast cancer patients with macromastia, with higher patient satisfaction and quality of life and by being inexpensive due to single session practice. As for its disadvantages are: re-excision is more difficult, risk for mastectomy is higher, it is depent on the Surgeron's experience, it has a risk for delay in adjuvant therapies and its requirement for additional imaging studies during management. Main indications are patients with small tumour / breast volume, macromastia, multifocality, procedures which can disrupt breast cosmesis such as surgeries for upper inner breas tquadrient tumours. Contraindications are positive margin problems after wide excision, diffuse malign microcalsifications, inflammatory breast cancer, history of radiotherapy and patients' preferences. Despite low evidence level, Oncoplastic Breast Surgery seems to be both reliable and acceptable in terms of oncologic and aesthetic aspects. Oncoplastic Breast Surgery increase the application rate of breast conserving surgery by obviating practical limitations and improve the results of breast conserving surgery. Correct patient and technique choice in OBS is vital for optimization of post surgical

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Recommendations for the aesthetic evaluation of breast cancer conservative treatment

Cited by 82 publications

References 79 publications

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

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

The Approach of General Surgeons to Oncoplastic and Reconstructive Breast Surgery in Turkey: A Survey of Practice Patterns

The Role of Oncoplastic Breast Surgery in Breast Cancer Treatment

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