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Published on: July 29, 2017
Cosmesis following complete local excision of breast cancer
I Lindsey1, J W Serpell, W R Johnson
1Department of Breast and Endocrine Surgery, Alfred Hospital, Melbourne, Victoria, Australia.
Background:
With the establishment of the safety of breast conservation in early breast cancer, cosmesis has become an increasingly important end-point of treatment. The aim of the present study was to establish a model to assess breast cosmesis after complete local excision and to assess cosmesis achieved in patients who had surgery using the seroma technique.
Methods:
A total of 42 patients were retrospectively reviewed and assessed by independent clinical assessment by a surgeon, structured questionnaire and clinical photography.
Results:
A total of 86% of patients were rated by surgeon and patient as having a good or excellent cosmetic outcome. There was a high degree of concordance between independent clinical assessment and clinical photographic analysis.
Conclusions:
A model has been established for the assessment of breast cosmesis; the technique of seroma formation without reconstruction of the defect results in good or excellent cosmesis in the majority of patients.
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