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
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/