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. 1999 Dec;25(6):566-70.
doi: 10.1053/ejso.1999.0707.

The cosmetic outcome in early breast cancer treated with breast conservation

S K Al-Ghazal  1 , R W Blamey, J Stewart, A A Morgan
Affiliations

The cosmetic outcome in early breast cancer treated with breast conservation

S K Al-Ghazal et al. Eur J Surg Oncol. 1999 Dec.

Abstract

Aims: To measure the cosmetic outcome of breast-conserving surgery and identify the factors which influence cosmesis.

Methods: A total of 254 patients with primary breast cancer treated by wide local excision, with or without radiotherapy, were subjectively assessed for cosmesis by a six-member panel using photographic evaluation and objectively by an independent observer using specific measurement.

Results: Good to excellent cosmetic results were achieved in 184 (72%) patients on panel subjective assessment and 201 (79%) patients on objective assessment. Good correlation (P<0.001) and agreement were found between the panel's subjective photographic assessment and the objective assessment. The main factors found to affect cosmesis negatively were: medially located tumours; weight of specimen; re-excision procedures; radiotherapy; small breasts and longer scars.

Conclusion: These cosmetic results, combined with a low local recurrence rate following wide local excision, validate the operative method used.

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