Standard wide local excision or bilateral reduction mammoplasty in large-breasted women with small tumours: Surgical and patient-reported outcomes

Abstract Introduction Oncoplastic breast surgery is used to extend the role of breast-conserving surgery (BCS) to women with an unfavourable tumour to breast volume ratio. However, large-breasted women with a relatively small breast cancer may be offered bilateral reduction mammoplasty (BRM) despite...

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Bibliographic Details
Published in:European journal of surgical oncology 2017-04, Vol.43 (4), p.636-641
Main Authors: Di Micco, R, O'Connell, R.L, Barry, P.A, Roche, N, MacNeill, F.A, Rusby, J.E
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Axilla
Breast cancer
Breast conserving surgery
Breast Neoplasms - pathology
Breast Neoplasms - surgery
Breast reduction
Chemotherapy, Adjuvant
Female
Hematology, Oncology and Palliative Medicine
Humans
Lymph Node Excision
Mammaplasty - methods
Mastectomy, Segmental - methods
Middle Aged
Patient Reported Outcome Measures
Patient Satisfaction
Postoperative Complications - epidemiology
Radiotherapy, Adjuvant
Reoperation
Retrospective Studies
Surgery
Surveys and Questionnaires
Therapeutic mammoplasty
Treatment Outcome
Tumor Burden
Wide local excision
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Summary:Abstract Introduction Oncoplastic breast surgery is used to extend the role of breast-conserving surgery (BCS) to women with an unfavourable tumour to breast volume ratio. However, large-breasted women with a relatively small breast cancer may be offered bilateral reduction mammoplasty (BRM) despite being suitable for standard BCS as the more complex surgery may have advantages in terms of patient satisfaction and reduced adverse effects of radiotherapy. Patient and methods This retrospective study evaluated surgical and patient-reported outcome measures (PROMs) in large-breasted women with early (
ISSN:0748-7983
1532-2157
DOI:10.1016/j.ejso.2016.10.027