Breast-Contour-Preserving Procedure as a Multidisciplinary Parameter of Esthetic Outcome in Breast Cancer Treatment in The Netherlands

Background The rate of breast-conserving surgery (BCS) is used as an esthetic outcome parameter, while other treatments contribute also, such as neoadjuvant chemotherapy (NAC) enabling BCS or immediate breast reconstruction (IBR). This study explores these efforts to preserve the patient’s breast co...

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Bibliographic Details
Published in:Annals of surgical oncology 2019-06, Vol.26 (6), p.1704-1711
Main Authors: van Bommel, Annnelotte, Spronk, Pauline, Mureau, Marc, Siesling, Sabine, Smorenburg, Carolien, Tollenaar, Rob, Vrancken Peeters, Marie-Jeanne, van Dalen, Thijs
Format: Article
Language:English
Subjects:
Adult
Age
Aged
Breast cancer
Breast Neoplasms - pathology
Breast Neoplasms - surgery
Breast Oncology
Cancer therapies
Carcinoma, Ductal, Breast - pathology
Carcinoma, Ductal, Breast - surgery
Carcinoma, Lobular - pathology
Carcinoma, Lobular - surgery
Chemotherapy
Chemotherapy, Adjuvant
Esthetics
Female
Follow-Up Studies
Hospitals
Humans
Invasiveness
Mammaplasty
Mastectomy
Mastectomy, Segmental
Medicine
Medicine & Public Health
Middle Aged
Neoadjuvant Therapy
Neoplasm Invasiveness
Netherlands
Oncology
Organ Sparing Treatments - methods
Patients
Prognosis
Surgery
Surgical Oncology
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Summary:Background The rate of breast-conserving surgery (BCS) is used as an esthetic outcome parameter, while other treatments contribute also, such as neoadjuvant chemotherapy (NAC) enabling BCS or immediate breast reconstruction (IBR). This study explores these efforts to preserve the patient’s breast contour. Patients and Methods All patients who underwent surgery for invasive breast cancer in The Netherlands between January 2011 and December 2015 were selected from the Dutch national breast cancer audit ( n  = 61,309). The breast-contour-preserving procedures (BCPP) rate was defined as the rate of primary BCS, BCS after NAC, or mastectomy with IBR. BCPP rates were calculated and compared by year of diagnosis, age categories, and individual hospitals. Results The rate of primary BCS remained stable (53%) while the BCPP rate increased from 63% in 2011 to 71% in 2015 due to an increase in patients receiving BCS after NAC and mastectomy with IBR. Primary BCS rates increased with age (from 17% in patients aged
ISSN:1068-9265
1534-4681
DOI:10.1245/s10434-019-07265-3