Background: Reduction mammaplasty at the time of lumpectomy is a good option in women with breast cancer and macromastia. We critically evaluated refinements and outcomes of this technique. Methods: A prospectively maintained database was reviewed of all women with breast cancer who received lumpectomy and reduction mammaplasty at our institution from 1994 to 2015. Patients' demographics were reviewed. Preoperative and postoperative patient satisfaction (BREAST-Q) was determined. Comparisons were made between early and recent cases. Results: There were 353 patients included. Average age was 54 (range, 21 to 80 years), with the largest number having stage I disease [n = 107 of 246 (43.5 percent)]. Average lumpectomy specimen was 207 g (range, 11.6 to 1954 g) and total reduction weight averaged 545 g (range, 21 to 4102 g). Tumor size averaged 2.02 cm (range, 0.00 to 15.60 cm). The positive margin rate was 6.2 percent (n = 22). Completion mastectomy rate was 9.9 percent (n = 35). Overall complication rate was 16 percent. The recurrence rate was 5.2 percent (n = 10 of 192) at a mean follow-up of 2 years (range, 2 months to 15 years). Resection weights greater than 1000 g were associated with having a positive margin (16.7 percent versus 5.0 percent; p = 0.016), and tended to be associated with having a completion mastectomy (p = 0.069). Positive margin and completion mastectomy rates have been lower in the past 10 years. Over 1 year postoperatively, women reported increased self-confidence (p = 0.020), feelings of attractiveness (p = 0.085), emotional health (p = 0.037), and satisfaction with sex life (p = 0.092). Conclusions: The oncoplastic reduction technique is effective and results in improved patient-reported outcomes. Resections over 1000 g are associated with a higher incidence of positive margins and may increase the risk for completion mastectomy. Outcomes have improved with experience and refinement in technique.
http://ift.tt/2nOBKVe
Σφακιανάκης Αλέξανδρος
ΩτοΡινοΛαρυγγολόγος
Αναπαύσεως 5 Άγιος Νικόλαος
Κρήτη 72100
00302841026182
00306932607174
alsfakia@gmail.com
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- Serum levels of genomic DNA of α1(I) collagen are ...
- Impact of anti-tumor necrosis factor-α agents on s...
- Understanding patient and physician perceptions of...
- Motorbike-handlebar hernia - a rare traumatic abdo...
- Binaural Interaction Effects of 30-50 Hz Auditory ...
- Salvage Islet Auto Transplantation After Relaparat...
- Hearing Wellness for Musicians
- 10 Lessons From Our First 10 Years
- Choosing the Right Office Management System
- Understanding Labyrinthine Concussion
- Is Auditory Synaptopathy a Result of Drug-Induced ...
- Marketing in Audiology: Multi-layered strategy nee...
- Trial of an Alternate Hearing Aid Delivery Model
- Symptom: Conductive Hearing Loss
- Why is Hearing Loss a Public Health Concern?
- Help Patients ‘Connect the Dots’
- CDC Research on Non-Occupational NIHL
- Manufacturers News
- Association of atopy phenotypes with new developme...
- Hyper–immunoglobulin E-like syndrome in a patient ...
- Association between atopic manifestations and eosi...
- Control of Allergic Rhinitis and Asthma Test for C...
- Groundwater quality in Ghaziabad district, Uttar P...
- Improving light extraction in light-emitting diode...
- Interfacial reactions in the Au/Sn-xZn/Cu sandwich...
- Trace elements in loggerhead turtles (Caretta care...
- Selective fluorescence sensors and photocatalysis ...
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- Zn–Mn alloy coatings from acidic chloride bath: Ef...
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- Is it really useful the Harmonic scalpel in axilla...
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- Feasibility of ossicular chain reconstruction with...
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- Temporal processing and long‐latency auditory evok...
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- Effects of ozone therapy on facial nerve regeneration
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