Oncoplastic Surgery: Does Patient and Medical Specialty Influences the Evaluation of Cosmetic Results?

Idam de Oliveira-Junior, Fabíola Cristina Brandini da Silva, Flávio Nazima, José Carlos Ribeiro Jr, Laurinda Castellani, Gustavo Zucca-Matthes, Maria do Socorro Maciel, Gabriele Biller, Jonathas José da Silva, Almir José Sarri, René Aloísio da Costa Vieira

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Oncoplastic surgery (OS) has added plastic surgery concepts and techniques to the breast cancer surgery. However, reports of the impact of OS on cosmesis after breast-conserving surgery (BCS) are limited in the literature.

This cross-sectional prospective study included patients who underwent BCS. The patients self-evaluated the cosmetic outcome of the breasts and had them photographed. The photos were evaluated by BCCT.core software and by 6 breast surgeons (mastologists and plastic surgeons) using the Harvard, Garbay, and Fitoussi scales. Kappa and weighted kappa tests were used to analyze agreement for categorical variables; for continuous variables, the interclass correlation index and the chi-square test to analyze the association between the OS and the symmetrization.

Patients' self-evaluation reported better cosmesis than surgeons' analyses. Plastic surgeons were the most critical. OS and symmetrization did not influence the results.

Read the full article here: https://pubmed.ncbi.nlm.nih.gov/33127303/ 

Jasmine Walter

Content Editor, Mark Allen Group

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