Predictors of early poor aesthetic outcome after breast-conserving surgery in patients with breast cancer: initial results of a prospective cohort study at a single institution
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Predictors of early poor aesthetic outcome after breast-conserving surgery in patients with breast cancer: initial results of a prospective cohort study at a single institution. / Foersterling, Eva; Golatta, Michael; Hennigs, Andre; Schulz, Sophie; Rauch, Geraldine; Schott, Sarah; Domschke, Christoph; Schuetz, Florian; Sohn, Christof; Heil, Joerg.
in: J SURG ONCOL, Jahrgang 110, Nr. 7, 12.2014, S. 801-806.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Predictors of early poor aesthetic outcome after breast-conserving surgery in patients with breast cancer: initial results of a prospective cohort study at a single institution
AU - Foersterling, Eva
AU - Golatta, Michael
AU - Hennigs, Andre
AU - Schulz, Sophie
AU - Rauch, Geraldine
AU - Schott, Sarah
AU - Domschke, Christoph
AU - Schuetz, Florian
AU - Sohn, Christof
AU - Heil, Joerg
N1 - © 2014 Wiley Periodicals, Inc.
PY - 2014/12
Y1 - 2014/12
N2 - BACKGROUND AND OBJECTIVES: The aim of this study was to explore features of patients reporting early poor aesthetic outcome after simple breast-conserving surgery.METHODS: We prospectively evaluated 709 patients shortly after breast-conserving surgery. Aesthetic outcome was measured by aesthetic status scores of the Breast Cancer Treatment Outcome Scale. Clinical, surgical, and pathologic variables were assessed to identify predictors of poor aesthetic outcome.RESULTS: Poor aesthetic outcome was reported by 46 (6.5%) patients, and 209 (29%) patients reported an intermediate aesthetic outcome. A single factor analysis of variance showed a negative impact of higher specimen weight (P < 0.001). Univariate logistic regression analysis revealed the following significant risk factors for poor aesthetic outcome: 12 o'clock positioning of tumor localization, a tumor behind the nipple areolar complex (NAC), fishmouth-shaped incision with resection of the NAC, quadrantectomy, central segmental resection, and pT stages 3 and 4. Multivariate logistic regression analysis indicated statistically independent associations between poor aesthetic outcome and tumor position in the inner half of the breast or behind the NAC, quadrantectomy, and pT stages 3 and 4.CONCLUSION: Poor aesthetic outcome is relatively rare shortly after breast-conserving surgery, but predictable in specific situations.
AB - BACKGROUND AND OBJECTIVES: The aim of this study was to explore features of patients reporting early poor aesthetic outcome after simple breast-conserving surgery.METHODS: We prospectively evaluated 709 patients shortly after breast-conserving surgery. Aesthetic outcome was measured by aesthetic status scores of the Breast Cancer Treatment Outcome Scale. Clinical, surgical, and pathologic variables were assessed to identify predictors of poor aesthetic outcome.RESULTS: Poor aesthetic outcome was reported by 46 (6.5%) patients, and 209 (29%) patients reported an intermediate aesthetic outcome. A single factor analysis of variance showed a negative impact of higher specimen weight (P < 0.001). Univariate logistic regression analysis revealed the following significant risk factors for poor aesthetic outcome: 12 o'clock positioning of tumor localization, a tumor behind the nipple areolar complex (NAC), fishmouth-shaped incision with resection of the NAC, quadrantectomy, central segmental resection, and pT stages 3 and 4. Multivariate logistic regression analysis indicated statistically independent associations between poor aesthetic outcome and tumor position in the inner half of the breast or behind the NAC, quadrantectomy, and pT stages 3 and 4.CONCLUSION: Poor aesthetic outcome is relatively rare shortly after breast-conserving surgery, but predictable in specific situations.
KW - Adult
KW - Aged
KW - Breast Neoplasms
KW - Carcinoma, Ductal, Breast
KW - Esthetics
KW - Female
KW - Follow-Up Studies
KW - Humans
KW - Mastectomy
KW - Mastectomy, Segmental
KW - Middle Aged
KW - Neoplasm Staging
KW - Prospective Studies
KW - Treatment Outcome
KW - Clinical Trial
KW - Journal Article
U2 - 10.1002/jso.23733
DO - 10.1002/jso.23733
M3 - SCORING: Journal article
C2 - 25132148
VL - 110
SP - 801
EP - 806
JO - J SURG ONCOL
JF - J SURG ONCOL
SN - 0022-4790
IS - 7
ER -