Comparison of Outcomes of Standard and Oncoplastic Breast-Conserving Surgery.
10.4048/jbc.2013.16.2.193
- Author:
Mehmet Ali GULCELIK
1
;
Lutfi DOGAN
;
Murat YUKSEL
;
Mithat CAMLIBEL
;
Cihangir OZASLAN
;
Erhan REIS
Author Information
1. Department of General Surgery, Ankara Oncology Training and Education Hospital, Ankara, Turkey. mgulcelik@yahoo.com
- Publication Type:Original Article
- Keywords:
Breast neoplasms;
Mammoplasty;
Oncoplastic surgery;
Segmental mastectomy
- MeSH:
Breast;
Breast Neoplasms;
Female;
Follow-Up Studies;
Humans;
Hypertrophy;
Mammaplasty;
Mastectomy;
Mastectomy, Segmental;
Recurrence;
Survival Rate
- From:Journal of Breast Cancer
2013;16(2):193-197
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: The aim of this study is to determine and to compare the oncological outcomes of bilateral reduction mammoplasty to standard breast-conserving surgery for breast cancer. METHODS: One hundred sixty-two patients who received a quadrantectomy because of breast cancer (group 1) and 106 breast cancer patients with macromastia who underwent breast-conserving surgery via bilateral reduction mammoplasty (group 2) between 2003 and 2010 were enrolled in this study. RESULTS: The mean follow-up time was 37 months for group 1 and 33 months for group 2. Surgical margins were wider than 2 mm in 82.7% and 10 mm in 76.5% of the patients in group 1. Eleven percent of patients had positive surgical margins in this group. When compared to group 2, the rates were 89%, 84%, and 8.4%, respectively. Three patients (1.8%) in group 1 and one patient (0.9%) in group 2 had local recurrence of the disease and received a mastectomy. No statistical significances were noted for either local recurrence or overall survival between the two groups. CONCLUSION: Bilateral reduction mammoplasty has some advantages as compared to the standard conventional breast-conserving surgery techniques without having any unfavorable effects on surgical margin confidence, local recurrence, and survival rates.
