Breast-conserving treatment in oncoplastic times: indications, cosmesis, and quality of life

Breast-conserving treatment was established as an oncologically safe procedure for breast cancer. However, the cosmetic outcomes of breast-conserving treatments are often unsatisfactory. In this scenario, oncoplastic breast-conserving surgery incorporated plastic surgery concepts and techniques into the oncological treatment in order to ensure better cosmesis, thus increasing the indications for breast-conserving treatment. At the same time, oncoplastic breast-conserving surgery is usually presented as a generic term, which should be evaluated taking many aspects into account: indication, patient selection, the surgery itself, cosmetic quality, and quality of life — data that are still scarce in the literature.

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Quality of life following total mastectomy with and without reconstruction versus breast-conserving surgery for breast cancer: A case-controlled cohort study

Journal of Plastic Reconstructive & Aesthetic Surgery ◽

10.1016/j.bjps.2016.06.004 ◽

2016 ◽

Vol 69 (9) ◽

pp. 1184-1191 ◽

Cited By ~ 61

Author(s):

Benjamin H.L. Howes ◽

David I. Watson ◽

Chris Xu ◽

Beverley Fosh ◽

Maximiliano Canepa ◽

...

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Cohort Study ◽

Breast Conserving Surgery ◽

Total Mastectomy

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The impact of age on changes in quality of life among breast cancer survivors treated with breast-conserving surgery and radiotherapy

British Journal of Cancer ◽

10.1038/bjc.2014.632 ◽

2015 ◽

Vol 112 (4) ◽

pp. 636-643 ◽

Cited By ~ 24

Author(s):

E J Bantema-Joppe ◽

G H de Bock ◽

M Woltman-van Iersel ◽

D M Busz ◽

A V Ranchor ◽

...

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Cancer Survivors ◽

Breast Cancer Survivors ◽

Breast Conserving Surgery ◽

The Impact

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Subcutaneous Quadrantectomy Is A Safe Procedure in Management of Early Stage Breast Cancer.

10.21203/rs.3.rs-892576/v1 ◽

2021 ◽

Author(s):

Eva Lieto ◽

Annamaria Auricchio ◽

Silvia Erario ◽

Giovanni Del Sorbo ◽

Francesca Cardella

Keyword(s):

Breast Cancer ◽

Quality Of Life ◽

Axillary Dissection ◽

Early Stage ◽

Length Of Hospital Stay ◽

Oncologic Outcome ◽

Conservative Surgery ◽

Early Stage Breast Cancer ◽

Safe Procedure

Abstract Background: Surgical treatment of breast cancer, the most frequent cancer in women, is deeply changed in the last years turning towards a progressive minimally invasion, both in extend of demolition and in axillary dissection completeness. This is due to the flexibility of the concept of radicality that today is taylored on the patient, rather than on the disease; If oncologic radicality is preserved, a less invasive operation on the breast is mandatory. In the era of mini-invasive surgery, a patient may ask for an aesthetic care without any additional health risk.Methods: In this article, we compared two groups of 75 consecutive patients undergoing conservative surgery for early stage breast cancer; the two groups were randomized for standard quadrantectomy and totally subcutaneous quadrantectomy. Statistical analysis was carried out for comparing data.Results: No difference in oncologic outcome was found with the different surgical procedures; the length of hospital stay and the incidence of late breast deformities were significantly less in subcutaneous quadrantectomy group. Conclusions: We conclude that, in early breast cancer, a totally subcutaneous surgical procedure of resection is feasible and safe and ensures an absolutely better aesthetical result, that involves patient’s quality of life.

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