Aesthetic result among breast cancer patients undergoing autologous breast reconstruction versus breast conserving therapy
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Published on: August 19, 2025
Darius Dian1, Katja Schwenn, Ioannis Mylonas
1University Hospital Munich, Munich, Germany. darius.dian@med.uni-muenchen.de
Purpose:
Following breast-conserving surgery or mastectomy followed by autologous breast reconstruction, breast cancer patients were studied to discover their satisfaction with the aesthetic results of the two treatment strategies.
Patients And Methods:
One hundred and thirty-four breast cancer patients were included in this study. Sixty-four underwent breast-conserving surgery followed by radiotherapy. Mastectomy was performed in 70 patients with immediate or late reconstruction. To evaluate the quality of the aesthetic results in both groups we designed a questionnaire assessing different cosmetic categories.
Results:
Patients in both therapy groups showed a very high satisfaction with their cosmetic results; the patients undergoing breast reconstruction were even more satisfied than the patients who had breast-conserving therapy.
Conclusion:
Our study demonstrated that breast reconstruction with autologous tissue offers an opportunity to support patients with advanced breast cancer who were confronted with mastectomy, showing a high degree of satisfaction with the cosmetic results.