Combined Patients and Medical Related Cosmetic Breast Cancer Outcomes—A Preferred Approach to Outcomes Assessment
Authors
Sugrue, MichaelJohnston, Alison
Degnim, Amy
Rubio, Isabel T.
Van den Tol, M. Petrouska
Djohan, Risal
Valentine, Mark
Mac Gregor, Geraldine
Affiliation
1. Breast Centre North West, Letterkenny University Hospital, Donegal, Ireland 2. Donegal Clinical Research Academy, Donegal, Ireland. 3. Mayo Clinic, Rochester, NY, USA. 4. Vall d’Hebron Hospital Universitario, Barcelona, Spain. 5&6 University Medical Centre, Amsterdam, NetherlandsIssue Date
2018-12Keywords
BREAST CANCERSURGERY, RECONSTRUCTIVE
Local subject classification
Cosmetic Assessment
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Sugrue, M., Johnston, A., Degnim, A., Rubio, I.T., Van den Tol, M.P., Djohan, R., Valentine, M. and Gregor, G.M. (2019) Combined Patients and Medical Related Cosmetic Breast Cancer Outcomes—A Preferred Approach to Outcomes Assessment. Advances in Breast Cancer Research, 8, 31-44. https://doi.org/10.4236/abcr.2019.81003Publisher
Advances in Breast Cancer ResearchJournal
Advances in Breast Cancer ResearchDOI
doi.org/10.4236/abcr.2019.81003Abstract
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.Item Type
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enae974a485f413a2113503eed53cd6c53
doi.org/10.4236/abcr.2019.81003
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