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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

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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, Vol. 110, No. 7, 12.2014, p. 801-806.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Foersterling, E, Golatta, M, Hennigs, A, Schulz, S, Rauch, G, Schott, S, Domschke, C, Schuetz, F, Sohn, C & Heil, J 2014, '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', J SURG ONCOL, vol. 110, no. 7, pp. 801-806. https://doi.org/10.1002/jso.23733

APA

Foersterling, E., Golatta, M., Hennigs, A., Schulz, S., Rauch, G., Schott, S., Domschke, C., Schuetz, F., Sohn, C., & Heil, J. (2014). 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. J SURG ONCOL, 110(7), 801-806. https://doi.org/10.1002/jso.23733

Vancouver

Foersterling E, Golatta M, Hennigs A, Schulz S, Rauch G, Schott S et al. 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. J SURG ONCOL. 2014 Dec;110(7):801-806. https://doi.org/10.1002/jso.23733

Bibtex

@article{179cfa1f768a437691be2a3720ee4b89,
title = "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",
abstract = "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.",
keywords = "Adult, Aged, Breast Neoplasms, Carcinoma, Ductal, Breast, Esthetics, Female, Follow-Up Studies, Humans, Mastectomy, Mastectomy, Segmental, Middle Aged, Neoplasm Staging, Prospective Studies, Treatment Outcome, Clinical Trial, Journal Article",
author = "Eva Foersterling and Michael Golatta and Andre Hennigs and Sophie Schulz and Geraldine Rauch and Sarah Schott and Christoph Domschke and Florian Schuetz and Christof Sohn and Joerg Heil",
note = "{\textcopyright} 2014 Wiley Periodicals, Inc.",
year = "2014",
month = dec,
doi = "10.1002/jso.23733",
language = "English",
volume = "110",
pages = "801--806",
journal = "J SURG ONCOL",
issn = "0022-4790",
publisher = "Wiley-Liss Inc.",
number = "7",

}

RIS

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 -