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Annals of Surgical Oncology
Published in: Annals of Surgical Oncology 4/2014

01-04-2014 | Breast Oncology

Cosmesis Outcomes for Sector Resection for Ductal Carcinoma In Situ (DCIS)

Authors: Beverley Fosh, MD, Alison Hainsworth, MBBS, Jesse Beumer, MBBS, Benjamin Howes, MBBS, William McLeay, MBBS, Michael Eaton, MD

Published in: Annals of Surgical Oncology | Issue 4/2014

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Abstract

Background

Oncoplastic surgery allows wide excision of pathology with greater margins in breast-conserving surgery (BCS) without compromising the shape of the breast. Oncoplastic techniques were used to remove a sector of tissue to fully excise ductal carcinoma in situ (DCIS) with a large margin, with relocation of the breast tissue to maintain normal shape. We assessed patient satisfaction with breast cosmesis after surgery as well as patients’ psychosocial well-being.

Methods

A retrospective study was conducted of patients who underwent BCS alone for pure DCIS between 1995 and 2009, performed by two surgeons. The BREAST-Q questionnaire was modified for partial mastectomy to gain patients’ perspectives on cosmetic outcomes and satisfaction after surgery. The questionnaire also assessed the emotional and sexual well-being of the patients.

Results

Overall, there was a high level of patient satisfaction, with 52 of 55 women (94 %) satisfied or very satisfied with their cosmetic outcome after partial mastectomy.

Conclusions

Oncoplastic techniques used for partial mastectomies to provide greater oncological clearance resulted in a high level of patient satisfaction after surgery.
Literature
1.
Clough KB, Kaufman GJ, Nos C, Buccimazza I, Sarfati IM. Improving breast cancer surgery: a classification and quadrant per quadrant atlas for oncoplastic surgery. Ann Surg Oncol. 2010;17:1375–91.
2.
Petit JY, Rietjens M, Garusi C, Greuze M, Perry C. Integration of plastic surgery in the course of breast-conserving surgery for cancer to improve cosmetic results and radicality of tumor excision. Recent Results Cancer Res. 1998;152:202–11.
3.
Aspegren K, Holmberg L, Adami HO. Standardization of the surgical technique in breast-conserving treatment of mammary cancer. Br J Surg. 1988;75:807–10.
4.
Pusic AL, Klassen AF, Scott AM, Klok JA, Cordeiro PG, Cano SJ. Development of a new patient-reported outcome measure for breast surgery: the BREAST-Q. Plast Reconstr Surg. 2009;124:345–53.
5.
Clough KB, Lewis JS, Couturaud B, Fitoussi A, Nos C, Falcou MC. Oncoplastic techniques allow extensive resections for breast-conserving therapy of breast carcinomas. Ann Surg. 2003;237:26–34.
6.
Haloua MH, Krekel NM, Winters HA, Rietveld DH, Meijer S, Bloemers FW, et al. A systematic review of oncoplastic breast-conserving surgery: current weaknesses and future prospects. Ann Surg. 2013;257:609–20.
7.
Sugrue R, MacGregor G, Sugrue M, Curran S, Murphy L. An evaluation of patient reported outcomes following breast reconstruction utilizing Breast Q. Breast. 2013;22:158–61.
8.
Rosson GD, Shridharani SM, Magarakis M, Manahan MA, Basdag B, Gilson MM, et al. Quality of life before reconstructive breast surgery: a preoperative comparison of patients with immediate, delayed, and major revision reconstruction. Microsurg. 2013;33:253–8.
9.
Macdonald HR, Silverstein MJ, Lee LA, Ye W, Sanghavi P, Holmes DR, et al. Margin width as the sole determinant of local recurrence after breast conservation in patients with ductal carcinoma in situ of the breast. Am J Surg. 2006;192:420–2.
10.
Silverstein MJ, Lagios MD, Groshen S, Waisman JR, Lewinsky BS, Martino S, et al. The influence of margin width on local control of ductal carcinoma in situ of the breast. N Engl J Med. 1999;340:1455–61.
11.
Wong JS, Kaelin CM, Troyan SL, Gadd MA, Gelman R, Lester SC, et al. Prospective study of wide excision alone for ductal carcinoma in situ of the breast. J Clin Oncol. 2006;24:1031–6.
Metadata
Title
Cosmesis Outcomes for Sector Resection for Ductal Carcinoma In Situ (DCIS)
Authors
Beverley Fosh, MD
Alison Hainsworth, MBBS
Jesse Beumer, MBBS
Benjamin Howes, MBBS
William McLeay, MBBS
Michael Eaton, MD
Publication date
01-04-2014
Publisher
Springer US
Published in
Annals of Surgical Oncology / Issue 4/2014
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-013-3441-4

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