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Simple Oncoplastic Breast Conserving Surgery for Breast Cancer in a University Hospital
S Khanal1, N Singh2, Y P Singh3
1Department of Surgical Oncology, BP Koirala Memorial Cancer Hospital, Bharatpur, Chitwan, Nepal.
Kathmandu University Medical Journal (KUMJ)
|August 29, 2024
Summary
Simple oncoplastic breast conserving surgery (BCS) offers excellent cosmetic outcomes and high patient satisfaction for early breast cancer. This technique achieves local control and good disease-free survival with minimal margin positivity.
Area of Science:
- Oncology
- Plastic Surgery
- Surgical Oncology
Background:
- Oncoplastic surgery combines tumor removal with breast contouring for optimal local control and cosmesis.
- Early breast cancer treatment aims for both oncological safety and aesthetic results.
Purpose of the Study:
- To evaluate patient satisfaction with various simple oncoplastic breast conserving surgery (BCS) techniques.
- To assess the cosmetic outcomes and oncological safety of these procedures.
Main Methods:
- Retrospective analysis of early breast cancer patients undergoing simple oncoplastic BCS from 2009-2017.
- Minimum five-year follow-up for all patients.
- Cosmetic evaluation using the Harvard/NSABP/RTOG scale at one year post-surgery.
Main Results:
- Median patient age was 43 years; median tumor size was 2.5 cm.
- All patients reported good to excellent cosmetic outcomes.
- High rates of disease-free survival and patient satisfaction with cosmesis were observed at five years.
Conclusions:
- Simple oncoplastic BCS techniques, particularly for upper breast tumors, are feasible and effective.
- These methods yield improved cosmetic results with low margin positivity rates.
- The procedures support good disease-free survival, enhancing quality of life for breast cancer patients.
