J Breast Cancer.  2013 Jun;16(2):193-197. 10.4048/jbc.2013.16.2.193.

Comparison of Outcomes of Standard and Oncoplastic Breast-Conserving Surgery

• Gulcelik M
• Dogan L
• Yuksel M
• Camlibel M
• Ozaslan C
• Reis E

• KMID: 2286400
• DOI: http://doi.org/10.4048/jbc.2013.16.2.193

Abstract

PURPOSE
The aim of this study is to determine and to compare the oncological outcomes of bilateral reduction mammoplasty to standard breast-conserving surgery for breast cancer.
METHODS
One hundred sixty-two patients who received a quadrantectomy because of breast cancer (group 1) and 106 breast cancer patients with macromastia who underwent breast-conserving surgery via bilateral reduction mammoplasty (group 2) between 2003 and 2010 were enrolled in this study.
RESULTS
The mean follow-up time was 37 months for group 1 and 33 months for group 2. Surgical margins were wider than 2 mm in 82.7% and 10 mm in 76.5% of the patients in group 1. Eleven percent of patients had positive surgical margins in this group. When compared to group 2, the rates were 89%, 84%, and 8.4%, respectively. Three patients (1.8%) in group 1 and one patient (0.9%) in group 2 had local recurrence of the disease and received a mastectomy. No statistical significances were noted for either local recurrence or overall survival between the two groups.
CONCLUSION
Bilateral reduction mammoplasty has some advantages as compared to the standard conventional breast-conserving surgery techniques without having any unfavorable effects on surgical margin confidence, local recurrence, and survival rates.

Keyword

Breast neoplasms; Mammoplasty; Oncoplastic surgery; Segmental mastectomy

MeSH Terms

Breast
Breast Neoplasms
Female
Follow-Up Studies
Humans
Hypertrophy
Mammaplasty
Mastectomy
Mastectomy, Segmental
Recurrence
Survival Rate
Breast
Hypertrophy

Figure

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  Figure 1 The illustration of bilateral reduction mammoplasty technique.

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  Figure 2 Postoperative pictures of bilateral reduction mammoplasty and quadrantectomy groups.

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  Figure 3 Five-year disease-free survival (DFS).

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