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KMID : 1188520150110020067
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Korean Journal of Clinical Oncology
2015 Volume.11 No. 2 p.67 ~ p.73
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Cosmetic outcomes and patients’ satisfaction of oncoplastic surgery in Korean patient with breast cancer
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Ha Su-Min
Kim Tae-Hyun
Lee An-Bok
Byun Kyung-Do
Han Jae-Woong
An Min-Sung
Kim Kwang-Hee
Bae Ki-Beom
Park Ha-Kyoung
Shin Jae-Ho
Seo Sang-Hyuk
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Abstract
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Purpose: Oncoplastic surgery (OPS) has emerged as the latest ideal surgery in treatment of breast cancer. The purpose of this study is to evaluate the cosmetic outcome of volume displacement surgery and patients’ satisfaction in Korean women with relatively small breast size.
Methods: This is a retrospective study of 173 patients who had volume displacement of OPS between January 2008 and December 2013. Cosmetic outcome was evaluated by patients’ questionnaire and a doctor. The patients’ satisfaction was assessed by a questionnaire divided into four categories; cosmetic satisfaction, satisfaction on operative method, femininity, and side effects. Relationship between removed specimen volume and patients’ satisfaction was also analyzed.
Results: About 90% of patients answered above the fair in cosmetic items and operative methods, only less than 5% of all patients reported of severe complications such as cramps or limitations of exercise. The patients’ cosmetic satisfaction score were significantly inversely related with removed specimen volume and doctor’s cosmetic assessment was also accordance with this result (P<0.05). Most patients preferred good contour over short scar regardless of age and marital status (good contour 54% vs. short scar 21%).
Conclusion: Volume displacement of OPS brings both the best possible cosmetic outcome and high patient satisfaction for Korean women with a small size of breast in breast cancer surgery. It is highly suggestive that Korean women considers good contour more than the size of scar; therefore, volume displacement of OPS is a recommendable means of breast cancer surgery for Korean women.
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KEYWORD
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Breast, Neoplasms, Cosmetics, Mammaplasty
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