Oncoplastic breast surgery versus conventional breast-conserving surgery: a comparative retrospective study

Area of Science:

• Oncology
• Plastic Surgery
• Surgical Oncology

Background:

• Oncoplastic breast surgery (OBS) combines plastic surgery techniques with breast cancer surgery.
• OBS aims to improve oncological safety and patient satisfaction.
• It allows for larger tumor resections while minimizing deformities compared to conventional breast-conserving surgery (BCS).

Purpose of the Study:

• To compare the oncological outcomes of OBS versus BCS.
• To evaluate the effectiveness of OBS in improving surgical results for breast cancer patients.

Main Methods:

• A retrospective study comparing two groups of patients with primary non-metastatic breast tumors (2012-2014).
• Group A (n=291) underwent BCS, while Group B (n=52) underwent OBS by a subspecialist-trained surgeon.
• Outcomes assessed included re-excision rates, resection margins, and complication rates.

Main Results:

• Both groups were homogenous in terms of patient and tumor characteristics.
• OBS group had a significantly larger resection margin (7 mm vs. 3 mm).
• OBS group showed a significantly lower re-excision rate (8% vs. 31%) with comparable complication rates.

Conclusions:

• OBS is a safe and effective technique for breast cancer treatment.
• OBS reduces re-excision rates and the need for further surgical interventions.
• Wider adoption of OBS has the potential to improve oncological care for breast cancer patients.