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Patient Preference for Surgical Methods for Ipsilateral Breast Tumor Recurrence
Yukiko Seto1, Makoto Ishitobi2, Tadahiko Shien3
1Department of Breast and Endocrine Surgery, Osaka International Cancer Institute, Osaka, Japan.
Annals of Surgical Oncology
|April 9, 2024
Summary
Few breast cancer patients prefer repeat breast-conserving surgery (rBCS) over mastectomy for ipsilateral breast tumor recurrence (IBTR). Patient preference for rBCS is linked to prior radiation and minimizing breast deformity.
Area of Science:
- Oncology
- Surgical Oncology
- Patient-Reported Outcomes
Background:
- Mastectomy is the standard treatment for ipsilateral breast tumor recurrence (IBTR).
- Growing interest exists in repeat breast-conserving surgery (rBCS) for IBTR.
- Limited data available on patient preferences for IBTR surgical procedures.
Purpose of the Study:
- To evaluate patient preference between mastectomy and rBCS for IBTR.
- To assess patient reasons for choosing a specific surgical procedure for IBTR.
Main Methods:
- 100 breast cancer patients who underwent salvage surgery for IBTR were surveyed.
- Patients indicated their preferred surgical method and reasons.
- Clinical and pathological factors associated with patient preference were analyzed.
Main Results:
- Only 11% of patients preferred rBCS for IBTR.
- Patients previously treated with rBCS and radiotherapy were more likely to prefer rBCS (p=0.030).
- Minimizing breast deformity and surgical wounds was the primary reason for choosing rBCS.
Conclusions:
- A low proportion of patients undergoing salvage surgery for IBTR opt for rBCS.
- Potential discrepancies exist between patient and surgeon perceptions regarding IBTR surgical options.
