dc.contributor | Universidade Estadual Paulista (Unesp) | |
dc.contributor | Barretos Cancer Hospital | |
dc.contributor | Londrina Cancer Hospital | |
dc.contributor | Santa Casa de Misericórdia de Itapeva | |
dc.contributor | Oswaldo Cruz German Hospital | |
dc.contributor | FACISB School of Medicine | |
dc.date.accessioned | 2021-06-25T10:37:34Z | |
dc.date.accessioned | 2022-12-19T22:20:56Z | |
dc.date.available | 2021-06-25T10:37:34Z | |
dc.date.available | 2022-12-19T22:20:56Z | |
dc.date.created | 2021-06-25T10:37:34Z | |
dc.date.issued | 2020-01-01 | |
dc.identifier | Clinical Breast Cancer. | |
dc.identifier | 1938-0666 | |
dc.identifier | 1526-8209 | |
dc.identifier | http://hdl.handle.net/11449/206755 | |
dc.identifier | 10.1016/j.clbc.2020.09.012 | |
dc.identifier | 2-s2.0-85094604595 | |
dc.identifier.uri | https://repositorioslatinoamericanos.uchile.cl/handle/2250/5387352 | |
dc.description.abstract | Background: Oncoplastic surgery (OS) has added plastic surgery concepts and techniques to the breast cancer surgery. However, reports of the impact of OS on cosmesis after breast-conserving surgery (BCS) are limited in the literature. Patients and Methods: This cross-sectional prospective study included patients who underwent BCS. The patients self-evaluated the cosmetic outcome of the breasts and had them photographed. The photos were evaluated by BCCT.core software and by 6 breast surgeons (mastologists and plastic surgeons) using the Harvard, Garbay, and Fitoussi scales. Kappa and weighted kappa tests were used to analyze agreement for categorical variables; for continuous variables, the interclass correlation index and the chi-square test to analyze the association between the OS and the symmetrization. Results: A total of 300 patients were evaluated: 228 (76.0%) underwent traditional BCS and 72 (24.0%) underwent OS, and of these, 37 (51.4%) underwent contralateral symmetrization surgery. In the evaluation of the cosmetic result, the correlation between patients and observers (BCCT.core and surgeons) was weak; between the 2 groups of surgeons, the correlation was moderate (Fitoussi scale) and excellent (Garbay scale). Plastic surgeons are more critical for evaluating cosmetic results; they considered it good or excellent in 30.0% whereas patients, mastologists, and BCCT.core results considered it so in 78.8%, 34.0%, and 30.0%, respectively. In terms of cosmesis, OS and symmetrization did not influence the results in this study with long follow-up. Conclusion: Patients’ self-evaluation reported better cosmesis than surgeons’ analyses. Plastic surgeons were the most critical. OS and symmetrization did not influence the results. | |
dc.description.abstract | Oncoplastic surgery (OS) has established itself as a safe treatment for breast cancer; however, its cosmetic evaluation remains little explored. After evaluating 300 patients undergoing breast-conserving treatment, with or without OS, we found that patients are more satisfied with the cosmetic outcome compared to observers (software and surgeons), and OS did not affect these results. | |
dc.language | eng | |
dc.relation | Clinical Breast Cancer | |
dc.source | Scopus | |
dc.subject | Breast cancer | |
dc.subject | Conserving surgery | |
dc.subject | Conserving treatment | |
dc.subject | Cosmetic techniques | |
dc.subject | Oncoplastic | |
dc.title | Oncoplastic Surgery: Does Patient and Medical Specialty Influences the Evaluation of Cosmetic Results? | |
dc.type | Artículos de revistas | |