Skip to main content
Top
Published in: Annals of Surgical Oncology 13/2021

01-12-2021 | Mastectomy | Breast Oncology

Why Breast-Conserving Therapy Should be Considered Treatment of Choice in Early-Stage Breast Cancer Patients

Authors: Casimir A. E. Kouwenberg, MD, MSc, Leonieke W. Kranenburg, PhD, Jan J. Busschbach, PhD, Marc A. M. Mureau, MD, PhD

Published in: Annals of Surgical Oncology | Issue 13/2021

Login to get access

Excerpt

After a diagnosis of breast cancer has been made, a major choice a patient with early-stage breast cancer needs to make, along with her surgeon, is between breast-conserving surgery followed by radiation therapy (breast-conserving therapy [BCT]) or mastectomy, which may be followed by breast reconstruction (BR). In discussing the pros and cons of these options, quality-of-life considerations will be an important topic as there are no differences in survival rates.1
Literature
1.
go back to reference Van Maaren MC, de Munck L, de Bock GH, Jobsen JJ, van Dalen T, Linn SC, et al. 10 year survival after breast-conserving surgery plus radiotherapy compared with mastectomy in early breast cancer in the Netherlands: a population-based study. Lancet Oncol. 2016;17:1158–70.CrossRef Van Maaren MC, de Munck L, de Bock GH, Jobsen JJ, van Dalen T, Linn SC, et al. 10 year survival after breast-conserving surgery plus radiotherapy compared with mastectomy in early breast cancer in the Netherlands: a population-based study. Lancet Oncol. 2016;17:1158–70.CrossRef
2.
go back to reference Tsoi B, Ziolkowski NI, Thoma A, Campbell K, O’Reilly D, Goeree R. Systematic review on the patient-reported outcomes of tissue-expander/implant vs autologous abdominal tissue breast reconstruction in postmastectomy breast cancer patients. J Am Coll Surg. 2014;218:1038–48.CrossRef Tsoi B, Ziolkowski NI, Thoma A, Campbell K, O’Reilly D, Goeree R. Systematic review on the patient-reported outcomes of tissue-expander/implant vs autologous abdominal tissue breast reconstruction in postmastectomy breast cancer patients. J Am Coll Surg. 2014;218:1038–48.CrossRef
3.
go back to reference Schmidt ME, Wiskemann J, Steindorf K. Quality of life, problems, and needs of disease-free breast cancer survivors 5 years after diagnosis. Qual Life Res. 2018;27:2077–86.CrossRef Schmidt ME, Wiskemann J, Steindorf K. Quality of life, problems, and needs of disease-free breast cancer survivors 5 years after diagnosis. Qual Life Res. 2018;27:2077–86.CrossRef
4.
go back to reference Yoon AY, Bozzuto L, Seto AJ, Fisher CS, Chatterjee A. A systematic review of utility score assessments in the breast surgery cost-analysis literature. Ann Surg Oncol. 2019;26:1190–201.CrossRef Yoon AY, Bozzuto L, Seto AJ, Fisher CS, Chatterjee A. A systematic review of utility score assessments in the breast surgery cost-analysis literature. Ann Surg Oncol. 2019;26:1190–201.CrossRef
5.
go back to reference Kouwenberg CAE, de Ligt KM, Kranenburg LW, Rakhorst H, de Leeuw D, Siesling S, et al. Long-term health-related quality of life after four common surgical treatment options for breast cancer and the effect of complications: a retrospective patient-reported survey among 1871 patients. Plast Reconstr Surg. 2020;146:1–13.CrossRef Kouwenberg CAE, de Ligt KM, Kranenburg LW, Rakhorst H, de Leeuw D, Siesling S, et al. Long-term health-related quality of life after four common surgical treatment options for breast cancer and the effect of complications: a retrospective patient-reported survey among 1871 patients. Plast Reconstr Surg. 2020;146:1–13.CrossRef
6.
go back to reference Bennett KG, Qi J, Kim HM, Hamill JB, Pusic AL, Wilkins EG. Comparison of 2-year complication rates among common techniques for postmastectomy breast reconstruction. JAMA Surg. 2018;153:901–8.CrossRef Bennett KG, Qi J, Kim HM, Hamill JB, Pusic AL, Wilkins EG. Comparison of 2-year complication rates among common techniques for postmastectomy breast reconstruction. JAMA Surg. 2018;153:901–8.CrossRef
8.
go back to reference De Boer M, Van Leeuwen FE, Hauptmann M, Overbeek LIH, De Boer JP, Hijmering NJ, et al. Breast implants and the risk of anaplastic large-cell lymphoma in the breast. JAMA Oncol. 2018;4:335–41.CrossRef De Boer M, Van Leeuwen FE, Hauptmann M, Overbeek LIH, De Boer JP, Hijmering NJ, et al. Breast implants and the risk of anaplastic large-cell lymphoma in the breast. JAMA Oncol. 2018;4:335–41.CrossRef
9.
go back to reference Nelson JA, Dabic S, Mehrara BJ, Cordeiro PG, Disa JJ, Pusic AL, et al. Breast Implant-associated Anaplastic Large Cell Lymphoma Incidence: Determining an Accurate Risk. Ann Surg. 2020;272:403–9.CrossRef Nelson JA, Dabic S, Mehrara BJ, Cordeiro PG, Disa JJ, Pusic AL, et al. Breast Implant-associated Anaplastic Large Cell Lymphoma Incidence: Determining an Accurate Risk. Ann Surg. 2020;272:403–9.CrossRef
10.
go back to reference Cordeiro PG, Ghione P, Ni A, Hu Q, Ganesan N, Galasso N, et al. Risk of breast implant associated anaplastic large cell lymphoma (BIA-ALCL) in a cohort of 3546 women prospectively followed long term after reconstruction with textured breast implants. J Plast Reconstr Aesthet Surg. 2020;73:841–6.CrossRef Cordeiro PG, Ghione P, Ni A, Hu Q, Ganesan N, Galasso N, et al. Risk of breast implant associated anaplastic large cell lymphoma (BIA-ALCL) in a cohort of 3546 women prospectively followed long term after reconstruction with textured breast implants. J Plast Reconstr Aesthet Surg. 2020;73:841–6.CrossRef
11.
go back to reference Swanson E. Plastic surgeons defend textured breast implants at 2019 US Food and Drug Administration hearing: why it is time to reconsider. Plast Reconstr Surg Global Open. 2019;7:e2410.CrossRef Swanson E. Plastic surgeons defend textured breast implants at 2019 US Food and Drug Administration hearing: why it is time to reconsider. Plast Reconstr Surg Global Open. 2019;7:e2410.CrossRef
12.
go back to reference Lee E, Khavanin N, He W, Darrach H, Kraenzlin F, Jenny H, et al. Public Perceptions on Breast Implant-Associated Anaplastic Large Cell Lymphoma. Plast Reconstr Surg. 2020;146:30–7.CrossRef Lee E, Khavanin N, He W, Darrach H, Kraenzlin F, Jenny H, et al. Public Perceptions on Breast Implant-Associated Anaplastic Large Cell Lymphoma. Plast Reconstr Surg. 2020;146:30–7.CrossRef
13.
go back to reference Oliveri S, Ongaro G, Durosini I, Curigliano G, Pravettoni G. Breast implant-associated anaplastic large cell lymphoma: emotional impact and guidelines for psychological support. Breast Cancer Res Treat. 2020;181:221–4.CrossRef Oliveri S, Ongaro G, Durosini I, Curigliano G, Pravettoni G. Breast implant-associated anaplastic large cell lymphoma: emotional impact and guidelines for psychological support. Breast Cancer Res Treat. 2020;181:221–4.CrossRef
14.
go back to reference Heeg E, Jensen MB, Mureau MAM, Ejlertsen B, Tollenaar RAEM, Christiansen PM, et al. Breast-contour preserving procedures for early-stage breast cancer: a population-based study of the trends, variation in practice and predictive characteristics in Denmark and the Netherlands. Breast Cancer Res Treat. 2020;182:709–18.CrossRef Heeg E, Jensen MB, Mureau MAM, Ejlertsen B, Tollenaar RAEM, Christiansen PM, et al. Breast-contour preserving procedures for early-stage breast cancer: a population-based study of the trends, variation in practice and predictive characteristics in Denmark and the Netherlands. Breast Cancer Res Treat. 2020;182:709–18.CrossRef
Metadata
Title
Why Breast-Conserving Therapy Should be Considered Treatment of Choice in Early-Stage Breast Cancer Patients
Authors
Casimir A. E. Kouwenberg, MD, MSc
Leonieke W. Kranenburg, PhD
Jan J. Busschbach, PhD
Marc A. M. Mureau, MD, PhD
Publication date
01-12-2021
Publisher
Springer International Publishing
Published in
Annals of Surgical Oncology / Issue 13/2021
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-021-10203-x

Other articles of this Issue 13/2021

Annals of Surgical Oncology 13/2021 Go to the issue