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Annals of Surgical Oncology

, Volume 22, Issue 8, pp 2500–2508 | Cite as

Long-Term Comparison of Aesthetical Outcomes After Oncoplastic Surgery and Lumpectomy in Breast Cancer Patients

  • Gabriela Santos
  • Cicero Urban
  • Maria Isabel Edelweiss
  • Gustavo Zucca-Matthes
  • Vilmar Marques de Oliveira
  • Gabriel Hubner Arana
  • Marco Iera
  • Mario Rietjens
  • Rubens Silveira de Lima
  • Cleverton Spautz
  • Flávia Kuroda
  • Karina Anselmi
  • Edison Capp
Breast Oncology

Abstract

Background

Lumpectomy may result in major deformities and asymmetries in approximately one-third of patients. Although oncoplastic surgery (OP) could be a useful alternative to avoid them, lack of strong data is causing some debate. The purpose of this study was to compare aesthetic outcomes in patients undergoing OP versus lumpectomy using three different assessment methods.

Methods

A total of 122 patients were included in this cross-sectional multicentric study; 57 underwent OP (46.7 %), and 65 underwent lumpectomy (53.3 %). Two breast surgeons and two plastic surgeons from different institutions using the Garbay scale independently evaluated aesthetic outcomes. BCCT.core software was applied in both groups, and the patients evaluated their aesthetic outcomes answering a questionnaire about their satisfaction rate.

Results

OP group had a higher proportion of excellent aesthetic results according to the BCCT.core software analysis (p = 0.028) and the specialists (p = 0.002). Multifactorial analyses showed that age ≥70 years (RP = 6.02; 95 % confidence interval [CI] 1.73–21.0; p = 0.005), tumors in the medial, inferior, and central quadrants (RP = 4.21; 95 % CI 1.88–9.44; p < 0.001), and large breasts (RP = 7.55; 95 % CI 2.48–23.0; p < 0.001) were significant risk factors for poor aesthetic outcomes after lumpectomy. The patients classified their results as better than those by the specialists and by the software, with no statistical difference between the groups.

Conclusions

Excellent aesthetic results were more frequent in the OP group according to BCCT.core software analysis and specialists. In addition, some clinical conditions and tumor locations in the breast can be considered risky factors for poor aesthetic outcomes in lumpectomy.

Keywords

Nipple Aesthetic Result Large Breast Inferior Pedicle Aesthetic Evaluation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Society of Surgical Oncology 2014

Authors and Affiliations

  • Gabriela Santos
    • 1
  • Cicero Urban
    • 2
    • 7
  • Maria Isabel Edelweiss
    • 1
  • Gustavo Zucca-Matthes
    • 4
  • Vilmar Marques de Oliveira
    • 5
  • Gabriel Hubner Arana
    • 6
  • Marco Iera
    • 6
  • Mario Rietjens
    • 6
  • Rubens Silveira de Lima
    • 7
    • 8
  • Cleverton Spautz
    • 7
    • 8
  • Flávia Kuroda
    • 7
  • Karina Anselmi
    • 7
  • Edison Capp
    • 1
    • 3
  1. 1.Post-Graduation Medical ProgramUFRGSPorto AlegreBrazil
  2. 2.Positivo UniversityCuritibaBrazil
  3. 3.Departament of Gynecology and Obstetrics, Hospital de ClínicasUFRGSPorto AlegreBrazil
  4. 4.Breast Unit, Barretos Cancer Hospital and School of Medicine of BotucatuUNESP/PGDGOMBotucatuBrazil
  5. 5.Breast UnitSanta Casa de São PauloSão PauloBrazil
  6. 6.Plastic and Reconstructive DivisionEuropean Institute of OncologyMilanItaly
  7. 7.Breast UnitHospital Nossa Senhora GraçasCuritibaBrazil
  8. 8.Tocogynecology DepartmentUFPRCuritibaBrazil

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