The primary goal of breast cancer management is to achieve optimal oncologic outcomes, and a very close secondary goal is to preserve cosmesis when possible. Two main treatment paradigms to achieve this cosmetic goal include breast conservation therapy BCT as well as mastectomy followed by reconstructive surgery. BCT for invasive disease typically includes a local surgery i.
Breast Cancer Research and Treatment. A battery of objective measurements of cosmetic outcome was performed on patients who had been treated by breast-preservation techniques for breast cancer. Cosmetic breast retraction, as determined by Breast Retraction Assessment BRA measurements, was significantly greater in patients who underwent extensive primary tumor resection, were more than 60 years old, weighed more than lbs, or had a primary tumor in an upper breast quadrant.
Follow CurrentOncology. Tweets by CurrentOncology. Background In the present study, we set out to compare patient reported outcomes with professional judgment about cosmesis after breast-conserving therapy bct and to evaluate which items position of the nipple, color, scar, size, shape, and firmness correlate best with subjective outcome.
Cosmesis in patients with breast neoplasia submitted to the hypofractionated radiotherapy with of intensity-modulated beam. To assess the cosmetic satisfaction of patients diagnosed with breast cancer submitted to the hypofractionated radiotherapy with IMRT hIMRT technique and its correlation with dosimetric data of the radiotherapy planning. The retrospective cohort study that assessed women with a diagnosis of malignant breast neoplasia submitted to the conservative treatment or radical mastectomy and treated with hIMRT. The volume of the treated breasts ranged from to 2.
To analyse the overall cosmetic outcome according to patient self-assessment in relation to the fractionation received. Self-perception of cosmesis, changes in the treated breast, pain and fractionation used hypofractionation HF Three hundred and fifty-two questionnaires were obtained.
Use the link below to share a full-text version of this article with your friends and colleagues. Learn more. The aim of the present study was to establish a model to assess breast cosmesis after complete local excision and to assess cosmesis achieved in patients who had surgery using the seroma technique.
Paradigm shift in surgery for breast cancer: The Indian reality. The latter part of the last millennium was a period of new discoveries in science and medicine, with a new understanding of the cause and treatment of cancer in general. Over the years, there has been a paradigm shift toward more conservative surgery in the treatment for breast cancer.
Methods to assess cosmesis following breast-conserving surgery are varied and assumed to yield similar results. The aim of this study was to compare three different methods of cosmetic assessment following breast-conserving surgery and to assess the impact of certain factors on cosmetic outcome. One hundred and fifteen patients undergoing breast-conserving surgery had 3 view digital photographs taken for assessment of cosmesis at one year post-surgery.
No one would dispute that the oncological cancer related aspects of breast cancer surgery are always of absolute paramount importance. The primary aim of breast conservation surgery, as opposed to mastectomy, is however aesthetic; preserving as much of the breast as possible, thereby retaining normal breast sensation, movement and feeling, and thus contributing positively to body image and self esteem. Otherwise we would still be performing mastectomies on everyone.
Disclosures of potential conflicts of interest may be found at the end of this article. Currently, literature on the specific information needs of patients concerning the cosmetic effects of BCT is lacking. The data from women who had undergone BCT in a general teaching hospital breast cancer unit in The Netherlands were studied.