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. 2013 Jun;16(2):193-7.
doi: 10.4048/jbc.2013.16.2.193. Epub 2013 Jun 28.

Comparison of outcomes of standard and oncoplastic breast-conserving surgery

Mehmet Ali Gulcelik  1 , Lutfi Dogan, Murat Yuksel, Mithat Camlibel, Cihangir Ozaslan, Erhan Reis
Affiliations

Comparison of outcomes of standard and oncoplastic breast-conserving surgery

Mehmet Ali Gulcelik et al. J Breast Cancer. 2013 Jun.

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.

Keywords: Breast neoplasms; Mammoplasty; Oncoplastic surgery; Segmental mastectomy.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Figure 1
Figure 1
The illustration of bilateral reduction mammoplasty technique.
Figure 2
Figure 2
Postoperative pictures of bilateral reduction mammoplasty and quadrantectomy groups.
Figure 3
Figure 3
Five-year disease-free survival (DFS).
See this image and copyright information in PMC

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