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Combined Patients and Medical Related Cosmetic Breast Cancer Outcomes—A Preferred Approach to Outcomes Assessment
Sugrue, Michael Johnston, Alison Degnim, Amy Rubio, Isabel T. Van den Tol, M. Petrouska Djohan, Risal Valentine, Mark Mac Gregor, Geraldine
Sugrue, Michael
Johnston, Alison
Degnim, Amy
Rubio, Isabel T.
Van den Tol, M. Petrouska
Djohan, Risal
Valentine, Mark
Mac Gregor, Geraldine
Advisors
Editors
Other Contributors
Date
2018-12
Date Submitted
Keywords
BREAST CANCER
SURGERY, RECONSTRUCTIVE
SURGERY, RECONSTRUCTIVE
Other Subjects
Cosmetic Assessment
Subject Mesh
Planned Date
Start Date
Collaborators
Principal Investigators
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Main Article
Adobe PDF, 421.49 KB
Alternative Titles
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Abstract
Introduction: Reducing positive margins and need for re-excision yet maintaining
cosmesis is key in breast cancer surgery. This study describes the
evaluation of early outcomes of a combined cosmetic assessment programme
following breast conservation surgery (BCS). Methods: An ethically approved
prospective study was conducted at Letterkenny University Hospital and a
15-month timeframe was chosen. All consecutive patients undergoing conservative
breast surgery with complete local excision, from July 2015 to October
2016, were entered into the study. Patients undergoing mastectomy and
reconstruction with either implant or autologous tissue were not included. 41
patients undergoing BCS were analysed. Objective and subjective cosmetic
evaluations were carried out. Assessments used were the Breast Cancer Conservative
Treatment—cosmetic results [BCCT.core 2.0] Software, a panel of 4
experts in breast surgery and the Breast Cancer Treatment Outcome Scale
(BCTOS). Demographic and pathological data, breast excision weight, %
breast volume excised (BVE), margin positivity, complications and
re-excision were documented. Data was expressed as mean and standard deviation
for normally distributed data and medians and inter quartile range for
non-normal data. Scores were also dichotomised to excellent/good and
fair/poor and results were analysed. Results: 41 patients’ mean age is 55 ± 13
years. Mean breast volume was 768.3 cm3 ± 440; BVE weighed 78.6g ± 42.6
(18.9 - 214.4) and %BVE 11.3% ± 5.2% (5.1 - 23.3). Re-excision rate was 2/41
(4.9%) all for positive margins. 0/41 infections or haematomas occurred.
Language
en
ISSN
eISSN
ISBN
DOI
doi.org/10.4236/abcr.2019.81003