医学
肿块切除术
患者满意度
肿瘤整形外科
人口统计学的
乳房切除术
乳房再造术
外科
畸形
乳房整形术
乳腺癌
普通外科
内科学
癌症
社会学
人口学
作者
Shirley Shechter,Or Friedman,Amir Inbal,Ehud Arad,Tehillah Menes,Daphna Barsuk,Eyal Gur,Yoav Barnea
摘要
Background Patients with centrally located tumours involving the nipple–areolar complex (NAC) who undergo breast‐conserving treatment (BCT) are at high risk for breast deformity and asymmetry. Immediate oncoplastic breast reconstruction (OBR) can have a favourable impact on surgical outcome. Methods We retrospectively compared aesthetic outcomes and patient satisfaction among women treated with NAC lumpectomy and immediate OBR with patients treated with BCT alone. Aesthetic outcome was evaluated by independent observers, and patient satisfaction was assessed by the BREAST‐Q questionnaire. Results A total of 24 patients were studied, 12 in each group. Demographics and oncological staging were similar in both groups, apart from mean age, hypertension and tumour size/lumpectomy weight. Patients in the OBR group had higher scores for aesthetic outcome and a higher degree of patient satisfaction from the surgical outcome compared to the patients in the BCT‐alone group. Conclusions The immediate OBR approach in the treatment of centrally located tumours with NAC resection has clear advantages over BCT alone. This approach should be considered for and offered to suitable patients.
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