Aesthetic outcomes of oncoplastic surgical techniques in large benign lump of breast using breast Q tool
DOI:
https://doi.org/10.18203/2349-2902.isj20232333Keywords:
Breast Q tool, Oncoplasty, Reduction mammoplasty, Large benign breast tumoursAbstract
Large benign breast tumors encompass an array of conditions resulting in breast asymmetry with significant physical and mental morbidities. Breast oncoplasty, in these conditions have better aesthetic outcomes. Here, as the opinion of the patient is superior when compared to subjective opinion of the surgeon, breast Q tool, can be a tool to assess outcomes after using oncoplastic techniques. The following case series includes 20 patients admitted with large benign lesions of breast undergoing oncoplastic surgery, who were assessed to evaluate their satisfaction with breast, nipples, information surgeon and medical team, before and after breast oncoplasty, using breast Q tool version 2.0 reduction mastopexy module, where pre-operative and post operative scores are noted and also converted into equivalent RASCH scores (statistical analysis used: statistical package for the social sciences (SPSS) v.20 software). From the case series it was found that the average pre-operative scores for satisfaction with breasts was 21.95 and post-operative score was 42.95 (p value of 0.0001). Majority of patients had maximum scores for satisfaction with nipples (47% with breast Q score of 20 out of 20), satisfaction with outcome (45% with RASCH score of 100 and 55% with RASCH score of 92), satisfaction with information (55% with RASCH score of 100) and satisfaction with medical team (75% with RASCH score of 100). It was clearly noted that from breast Q tool for reduction mammoplasty, there was excellent post-operative satisfaction among patients across various domains, when oncoplasty is employed for large benign breast diseases.
References
Webb C, Jacox N, Temple-Oberle C. The making of breasts: Navigating the symbolism of breasts in women facing cancer. Plast Surg. 2019;27(1):49-53.
Purohit S. Reduction mammoplasty. Indian J Plast Surg. 2008;41(S01):64-79.
Malathi L. Oncoplastic Approach to Giant Benign Breast Tumors Presenting as Unilateral Macromastia. Indian J Plast Surg. 2020;53(03):439-41.
Sharma S, Rana BP. Giant fibroadenoma of breast: a diagnostic dilemma in a middle aged woman. Adv Cytol Pathol. 2017;2(4):109-2.
Malathi L. Oncoplastic Approach to Giant Benign Breast Tumors Presenting as Unilateral Macromastia. Indian J Plast Surg. 2020;53(03):439-41.
Chirappapha P, Lertsithichai P, Sukarayothin T, Leesombatpaiboon M, Supsamutchai C, Kongdan Y. Oncoplastic techniques in breast surgery for special therapeutic problems. Gland Surg. 2016;5(1):75.
Munhoz AM, Montag E, Gemperli R. Oncoplastic breast surgery: indications, techniques and perspectives. Gland Surg. 2013;2(3):143.
Hiller A, Lee TJ, Henderson J, Ajkay N, Wilhelmi BJ. Oncoplastic reduction pattern technique following removal of giant fibroadenoma. Eplasty. 2018;18.
Silverstein MJ, Mai T, Savalia N, Vaince F, Guerra L. Oncoplastic breast conservation surgery: the new paradigm. J Surg Oncol. 2014;110(1):82-9.
Benson JR, Absar MS. Volume replacement and displacement techniques in oncoplastic surgery. Adv Breast Cancer. 2008;5(1):3-10.
Mátrai Z, Újhelyi M, Kovács T, Kelemen P, Sávolt Á, Kovács E, et al. Evaluation of a retroglandular oncoplastic technique as a standard level I oncoplastic breast-conserving surgery: a retrospective clinicopathologic study of 102 patients with breast cancer. Clinical Breast Cancer. 2019;19(3):e459-67.
Wignarajah P, Forouhi P, Malata CM. The past, the present and the future of UK breast reconstruction—are our practices outdated in 2020? Gland Surg. 2020;9(4):1076.
Pusic AL, Chen CM, Cano S, Klassen A, McCarthy C, Collins ED, Cordeiro PG. Measuring quality of life in cosmetic and reconstructive breast surgery: a systematic review of patient-reported outcomes instruments. Plast Reconstructive Surg. 2007;120(4):823-37.
Cordova LZ, Hunter-Smith DJ, Rozen WM. Patient reported outcome measures (PROMs) following mastectomy with breast reconstruction or without reconstruction: a systematic review. Gland Surg. 2019;8(4):441.
Mundy LR, Rosenberger LH, Rushing CN, Atisha D, Pusic AL, Hollenbeck ST, et al. The evolution of breast satisfaction and well-being after breast cancer: a propensity-matched comparison to the norm. Plastic Reconstructive Surg. 2020;145(3):595.
Lugo LM, Prada M, Kohanzadeh S, Mesa JM, Long JN, de la Torre J. Surgical outcomes of gigantomastia breast reduction superomedial pedicle technique: a 12-year retrospective study. Annals Plastic Surg. 2013;70(5):533-7.
Coriddi M, Nadeau M, Taghizadeh M, Taylor A. Analysis of satisfaction and well-being following breast reduction using a validated survey instrument: the BREAST-Q. Plastic Reconstructive Surg. 2013;132(2):285-90.
Andrade AC, Veiga DF, Aguiar ID, Juliano Y, Sabino-Neto M, Ferreira LM. Outcomes analysis of breast reduction in Brazilian women using the BREAST-Q® questionnaire: a cross-sectional controlled study. Clinics. 2018;73.
Mallick S, Roy S, Gandhi AK, Pandit S, Sharma D, Julka PK, Rath GK. Malignant and borderline phyllodes tumor of breast treated with a multi-modality approach in a tertiary cancer care centre in North India. South Asian J Cancer. 2016;5(01):001-3.
Naraynsingh GC. Treatment of breast lumps in the teenager. Br J Surg. 1987;1168.
Demian GA, Fayaz S, Eissa HE, Nazmy N, Samir S, George T, et al. Phyllodes tumors of the breast: Analysis of 35 cases from a single institution. J Egyptian National Cancer Institute. 2016;28(4):243-8.
Côrrea MD, Costa AM, Côrrea LD, Dornelas MT, Venturelli-Júnior EP, Chaoubah A. Assessment of the quality of life in patients with breast hypertrophy before and after reduction mammoplasty. Revista Brasileira de Cirurgia Plástica. 2023;34:204-9.
Wampler AT, Powelson IA, Homa K, Freed GL. BREAST-Q outcomes before and after bilateral reduction mammaplasty. Plastic Reconstructive Surg. 2021;147(3):382e-90e.
Parnis J, Aquilina D, Borg M, Darmanin FX, Briffa JE. Bilateral breast reduction surgery at Mater Dei Hospital: Analysis of physical and psychological symptoms using the BREAST-Q. Malta Med School Gazette. 2018;2(3).
