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KMID : 1134120130160020193
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Journal of Breast Cancer
2013 Volume.16 No. 2 p.193 ~ p.197
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Comparison of Outcomes of Standard and Oncoplastic Breast-Conserving Surgery
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Gulcelik Mehmet Ali
Dogan Lutfi
Yuksel Murat
Camlibel Mithat
Ozaslan Cihangir
Reis Erhan
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Abstract
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Purpose: The aim of this study is to determine and to compare the oncological outcomes of bilateral reduction mammoplasty to standard breast-conserving surgery for breast cancer.
Methods: One hundred sixty-two patients who received a quadrantectomy because of breast cancer (group 1) and 106 breast cancer patients with macromastia who underwent breast-conserving surgery via bilateral reduction mammoplasty (group 2) between 2003 and 2010 were enrolled in this study.
Results: The mean follow-up time was 37 months for group 1 and 33 months for group 2. Surgical margins were wider than 2 mm in 82.7% and 10 mm in 76.5% of the patients in group 1. Eleven percent of patients had positive surgical margins in this group. When compared to group 2, the rates were 89%, 84%, and 8.4%, respectively. Three patients (1.8%) in group 1 and one patient (0.9%) in group 2 had local recurrence of the disease and received a mastectomy. No statistical significances were noted for either local recurrence or overall survival between the two groups.
Conclusion: Bilateral reduction mammoplasty has some advantages as compared to the standard conventional breast-conserving surgery techniques without having any unfavorable effects on surgical margin confidence, local recurrence, and survival rates.
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KEYWORD
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Breast neoplasms, Mammoplasty, Oncoplastic surgery, Segmental mastectomy
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