Prediction of cosmetic outcome following conservative breast surgery using breast volume measurements

Abstract Background Single incision technique is an oncoplastic surgery aimed to remove both the breast tumor and axillary clearance through one incision, thus providing better aesthetic results than the conventional breast conservative two incision technique. However this procedure is more difficult, since visualization and the resection space are limited, demanding greater experience from the surgeon. Objective To compere between single incision in excising upper outer breast tumor and axillary clearance versus two separate incisions in conservative breast surgery as regard cosmetic outcome, seroma formation and time needed for drainage for both breast and axilla. Patients and Methods This is a prospective cohort study to compere between single incision in excising upper outer breast tumor and axillary clearance versus two separate incisions in conservative breast surgery as regard cosmetic outcome, seroma formation and time needed for drainage for both breast and axilla. Results Single incision resulted in only one small scar and provided feasible breast cancer treatment with excellent acceptance and satisfaction by the patients. Double incision on breast and axilla is associated with lower rate of long-term postoperative lymphedema and minimizing disruption of axillary lymphatic and vascular channels. Conclusion The single incision technique was shown to be providing better cosmetic result but more seroma formation. With the confirmation of oncologic and surgical efficacy, future areas of study will include long term evaluation of patient oncologic, functional, and cosmetic outcomes following the single incision approach.

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Breast Volume Measurement As a Predictor of Cosmetic Outcome and Patient Satisfaction Following Oncoplastic Breast Surgery for Breast Cancer

Journal of the American College of Surgeons ◽

10.1016/j.jamcollsurg.2021.08.040 ◽

2021 ◽

Vol 233 (5) ◽

pp. e14

Author(s):

Hethu Chebrolu ◽

Chintamani Chintamani ◽

Megha Tandon

Keyword(s):

Breast Cancer ◽

Patient Satisfaction ◽

Breast Surgery ◽

Volume Measurement ◽

Cosmetic Outcome ◽

Breast Volume ◽

Oncoplastic Breast Surgery

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Psychological respect for patients with breast cancer using radial incision which gives better cosmetic outcome after conservative breast surgery

Journal of Medicine in Scientific Research ◽

10.4103/jmisr.jmisr_39_18 ◽

2018 ◽

Vol 1 (3) ◽

pp. 164

Author(s):

AdelK Barsoum ◽

HythamR Yassin

Keyword(s):

Breast Cancer ◽

Breast Surgery ◽

Cosmetic Outcome ◽

Radial Incision ◽

Conservative Breast Surgery

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Radiotherapy following conservative breast surgery using an asymmetric collimator technique

Clinical Oncology ◽

10.1016/s0936-6555(05)81241-5 ◽

1991 ◽

Vol 3 ◽

pp. 296-296 ◽

Cited By ~ 1

Keyword(s):

Breast Surgery ◽

Conservative Breast Surgery

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231 Breast Lymphedema After Breast Conservative Surgery; An Up-To-Date Systematic Review

British Journal of Surgery ◽

10.1093/bjs/znab134.245 ◽

2021 ◽

Vol 108 (Supplement_2) ◽

Author(s):

M Abouelazayem ◽

M Elkorety ◽

S Monib

Keyword(s):

Risk Factors ◽

Systematic Review ◽

Breast Surgery ◽

Treatment Options ◽

Conservative Surgery ◽

Breast Size ◽

Search Term ◽

Common Complication ◽

Breast Conservative Surgery ◽

Conservative Breast Surgery

Abstract Background While arm lymphedema following breast cancer treatment is a common complication; breast lymphedema following treatment is not uncommon. Several risk factors were found to contribute to breast lymphedema, Aim: We aimed to provide a systematic review to help avoiding or management of breast lymphoedema Method The search term 'breast lymphedema' was combined with 'breast conservative surgery' and was used to conduct literature research in PubMed and Medline. The term lymphedema was combined with breast, conservative and surgery to search Embase database. All papers published in English were included with no exclusion date limits Results A total of 2155 female patients were included in this review; age ranged from 26 to 90. Mean BMI was 28.4, most of the studies included patients who underwent conservative breast surgery. Incidence of breast lymphedema ranged from 24.8% to 90.4%. Several risk factors were linked to breast lymphedema after conservative breast surgery, such as body mass index (BMI), breast size, tumour size, tumour site, type of surgery and adjuvant therapy. Treatment options focused on decongestive lymphatic therapy, including Manual lymphatic drainage (MLD), self-massaging, compression bras or Kinesio taping. Conclusions Breast lymphedema is a relatively common complication, yet there is no clear consensus on the definition or treatment options.

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A Comparison between the Oncological Safety of Oncoplastic and Conventional Conservative Breast Surgery

Journal of Cancer Science & Therapy ◽

10.4172/1948-5956.s2-006 ◽

2011 ◽

Vol 01 (S2) ◽

Author(s):

André Vallejo da Silva ◽

Claudinei Destro ◽

José Celestino Bicalho de Figueiredo

Keyword(s):

Breast Surgery ◽

Oncological Safety ◽

Conservative Breast Surgery

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Correlation of Specimen/Breast Volume Ratio to Cosmetic Outcome After Breast Conserving Surgery

Indian Journal of Surgical Oncology ◽

10.1007/s13193-019-00973-y ◽

2019 ◽

Vol 10 (4) ◽

pp. 668-672

Author(s):

Tarek Hashem ◽

Ahmed Morsi ◽

Ahmed Farahat ◽

Tarek Zaghloul ◽

Amira Hamed

Keyword(s):

Volume Ratio ◽

Breast Conserving Surgery ◽

Cosmetic Outcome ◽

Breast Volume

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Skin Sparing Mastectomy as an Oncoplastic Surgery Technique for Breast Cancer treatment

QJM ◽

10.1093/qjmed/hcaa050.025 ◽

2020 ◽

Vol 113 (Supplement_1) ◽

Author(s):

A M Alanwar ◽

A G Osman ◽

M A Abdelhamed ◽

A N E Ebrahim

Keyword(s):

Breast Cancer ◽

Breast Surgery ◽

Volume Ratio ◽

Radical Mastectomy ◽

Cosmetic Outcome ◽

University Hospitals ◽

Psychological Outcome ◽

Oncoplastic Breast Surgery ◽

Large Tumor ◽

Oncological Safety

Abstract Background The goal of modern breast surgery is to cure patients with preservation of breast tissue as much as possible with satisfactory physical and psychological outcome. This goal has led to introduction of a new scope of surgery into our clinical practice called oncoplastic breast surgery, with the advantage of combining oncological safety and satisfactory cosmetic outcome. Objective To focus on skin sparing mastectomy as a surgical procedure for treatment of breast cancer and to assess outcomes and benefits versus complications. Patients and Methods It was a retrospective analytical study that included 30 patients aiming to clinically assess the skin sparing mastectomy as an oncoplastic technique regarding oncological safety and patient satisfaction. This study was conducted at Ain-Shams University Hospitals. Approval of the Ethical Committee and written informed consent from all participants was obtained. Results In our study 6 patients underwent SSM and 24 Patients underwent NSM owing to high tumor/breast volume ratio. In our study we were able to conduct an very good cosmetic outcome for a relatively large tumor excisions with 66.7% of the cases (20 patients) falling in excellent and very good score. In our study only one of the patients had malignant recurrence as confirmed by the pathologist in our multidisciplinary team proving that we had performed skin sparring mastectomy technique safely from oncological point of view. The follow up of the malignant recurrence was for the first year as this was the time limitation of our study. Conclusion Skin sparing mastectomy has been proven as an alternate to traditional radical mastectomy with the same oncological safety and better cosmetic outcome.

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