Oncoplastic surgery for Paget's disease of the breast

Rafael José Fábio Pelorca, Idam de Oliveira-Junior, René Aloisio da Costa Vieira
Oncoplastic surgery for Paget's disease of the breast
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Introduction

Paget's disease of the breast (PDB) is a rare nipple entity associated with multifocality. Due to its location, resection of the entire nipple-areolar complex is necessary. Historically central quadrantectomy and mastectomy have the surgical treatments of choice. The feasibility of oncoplastic breast surgery (OBS) for PDB is unknown.

Methods

This was a retrospective study performed in a Brazilian oncological hospital. We evaluated the factors related to the performance of OBS in PDB. In addition, the impact of OBS on local recurrence and survival was analysed. Comparisons were made between groups using the chi-square test, Mann-Whitney U test, and Kaplan-Meier method. To assess the impact factor of the variables on the performance of OBS, logistic regression was performed.

Conclusion

OBS improves options related to surgical treatment in PDB without affecting local recurrence or survival rates.

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