Oncological outcome of patients treated surgically with oncoplastic breast surgery: a single centre analysis

Authors

  • Fermin Iswary Department of Surgical Oncology, State Cancer Institute, GMC, Guwahati, Assam, India
  • Bhabesh Kumar Das Department of Surgical Oncology, State Cancer Institute, GMC, Guwahati, Assam, India
  • Rajiv Paul Department of Surgical Oncology, State Cancer Institute, GMC, Guwahati, Assam, India
  • Dwipen Kalita Department of Surgical Oncology, State Cancer Institute, GMC, Guwahati, Assam, India

DOI:

https://doi.org/10.18203/2349-2902.isj20223330

Keywords:

Oncoplastic breast surgery, Breast cancer, Plastic surgery

Abstract

Background: Oncoplastic breast surgery is a well-established approach that aims to maintain the quality of life by using plastic surgery techniques without compromising the oncological outcome. This study aimed to demonstrate the effective oncoplastic surgical practice with low rates of perioperative complication and high patient reported outcome.

Methods: A prospective observational and systematic review comprised of 50 patients with T1- T3 and T4B lesions treated with Level I and Level II oncoplastic breast surgery techniques in a single centre. Patient demography, procedure and outcome data were collected. The patient satisfaction and quality of life were assessed using Breast Q Module questionnaire.

Results: The greatest number of cases were seen in the age group 30-40 years with T2 lesions with next T4B lesions in the same age group. Three patients (6%) experienced complication requiring intervention, and all patients had margins free of tumour. Patient satisfaction scores were higher in the postoperative period.

Conclusions: Our study even though has a smaller number of patients and less duration of study period showed a good result with regards to the patient reported outcomes.

Author Biography

Fermin Iswary, Department of Surgical Oncology, State Cancer Institute, GMC, Guwahati, Assam, India

REGISTRAR IN THE DEPARTMENT OF SURGICAL ONCOLOGY, STATE CANCER INSTITUTE, Gauhati Medical College.

References

Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68(6):394-424.

Fisher B, Bauer M, Margolese R, Poisson R, Pilch Y, Redmond C, et al. Five-year results of a randomized clinical trial comparing total mastectomy and segmental mastectomy with or without radiation in the treatment of breast cancer. N Engl J Med. 1985;312(11):665-73.

Fisher B, Dignam J, Wolmark N, Mamounas E, Costantino J, Poller W, et al. Lumpectomy and radiation therapy for the treatment of intraductal breast cancer: findings from National Surgical Adjuvant Breast and Bowel Project B-17. J Clin Oncol. 1998;16(2):441-52.

Bleicher RJ, Ruth K, Sigurdson ER, Ross E, Wong YN, Patel SA, et al. Preoperative delays in the US Medicare population with breast cancer. J Clin Oncol. 2012 ;30(36):4485-92.

Halsted W. The results of radical operation for the cure of carcinoma of the breast. Ann Surg. 1907;46:1.

Calì Cassi L, Vanni G, Petrella G, Orsaria P, Pistolese C, Lo Russo G, et al. Comparative study of oncoplastic versus non-oncoplastic breast conserving surgery in a group of 211 breast cancer patients. Eur Rev Med Pharmacol Sci. 2016;20(14):2950–4.

Mansell J, Weiler-Mithoff E, Stallard S, Doughty JC, Mallon E, Romics L. Oncoplastic breast conservation surgery is oncologically safe when compared to wide local excision and mastectomy. Breast. 2017;32:179-85.

JE Kelsall, SJ McCulley, L Brock, MTE Akerlund, RD. Macmillan. Comparing oncoplastic breast conserving surgery with mastectomy and immediate breast reconstruction: Case-matched patient reported outcomes. J Plastic Reconstruct Aesthet Surg. 2017;70(10):1377-85.

Broecker JS, Hart AM, Styblo TM, Losken A. Neoadjuvant Therapy Combined With Oncoplastic Reduction for High-Stage Breast Cancer Patients. Ann Plast Surg. 2017;78(6S Suppl5):S258-SS62.

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Published

2022-12-30

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Section

Original Research Articles