Clinical comparative study of oncoplastic and standard breast-conserving surgery in the treatment of early breast cancer
10.3969/j.issn.1000-8179.2016.06.029
- VernacularTitle:整形保乳术与常规保乳术在早期乳腺癌治疗中的比较分析
- Author:
Wei TANG
;
Jianlun LIU
;
Huawei YANG
;
Yi JIANG
;
Wei WEI
- Publication Type:Journal Article
- Keywords:
breast cancer;
breast-conserving surgery;
oncoplastic breast-conserving surgery;
radial margins;
complication
- From:
Chinese Journal of Clinical Oncology
2016;43(6):235-239
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To assess the efficacy and safety of oncoplastic breast-conserving surgery (OBCS) in the treatment of early breast cancer. Methods:The clinicopathological data of breast cancer patients who were treated with OBCS (67 cases) and standard breast-conserving surgery (SBCS;117 cases) in Affiliated Cancer Hospital of Guangxi Medical University were retrospectively analyzed. Postop-erative complication, specimen weight, margins, and surgery re-excision rate between the two groups were compared. Results:Sero-ma (14.9%versus 48.7%, P<0.001), hematoma (4.5%versus 14.5%, P=0.035), and poor wound healing (3.0%versus 11.9%, P=0.036) were more common in the SBCS group than in the OBCS group. The patient satisfaction in the OBCS group was statistically higher than in the SBCS group (P<0.05). Compared with standard surgery, oncoplastic techniques can be employed for significantly larger tumors (25.04 mm versus 21.14 mm, P<0.001). OBCS resulted in higher mean specimen weights (92.24 g versus 57.44 g, P<0.001), wider clear nearest margins (12.04 mm versus 9.58 mm, P<0.001), and wider furthest margins (24.16 mm versus 15.24 mm, P<0.001). No statisti-cal increase was observed in further surgery re-excision of margins. Conclusion:OBCS is more successful than standard wide local exci-sion in treating larger tumors and obtaining wider radial margins. Oncoplastic approach showed no increase in postoperative complica-tion rate. The postoperative complication was excellent. OBCS is a safe and effective procedure for early breast cancer.
