title: Cosmesis with bilateral mammoreduction for conservative breast cancer treatment.
abstract: Over 7 years, 57 women with breast cancer underwent lumpectomy and bilateral mammoreduction. Physical complaints about large or lax breast shape were the predominate rationale. Two patients were immediately lost to follow-up, 55 patients remained and were followed every 3 months for an average of 1.6 years. This is the largest series traceable by computer and literature search. Chart review and patient examination in this retrospective review were utilized as the basis for data within the article. Collated notes from patients' doctors were assessed, as well as documented patient responses to the procedure. Pictures without head/face for identifiers were taken of the patients. Chart data were collected by clinicians, but were reviewed blindly by a statistician. The overall control and cosmesis rates as well as alleviation of heavy breast problems were noted. Only 6% of women had fair to poor cosmetic results; the majority (82%) had excellent to good results. Women with very large breasts or markedly relaxed breast tissue of concern to the patients proved optimal candidates for lumpectomy of cancer and bilateral mammoreduction in the conservative treatment of these cancers. There was a significant reduction in the physical complaints of the patients as well. For women with very pendulous or extremely large breasts, lumpectomy and bilateral mammoreduction may prove to be the optimal course of action.
authors.affiliation: Department of Radiation Oncology, Eastern Virginia Medical School, 600 Gresham Drive, Norfolk, VA 23507, USA. Goffmate@evms.edu
authors.forename: Thomas E
authors.initials: TE
authors.lastname: Goffman
authors.forename: Heather
authors.initials: H
authors.lastname: Schneider
authors.forename: Karen
authors.initials: K
authors.lastname: Hay
authors.forename: David E
authors.initials: DE
authors.lastname: Elkins
authors.forename: Robert A
authors.initials: RA
authors.lastname: Schnarrs
authors.forename: Claire
authors.initials: C
authors.lastname: Carman
mesh_terms: D001943:Breast Neoplasms / Q000601:surgery* / Q000628:therapy; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D015412:Mastectomy, Segmental; D012189:Retrospective Studies; D016896:Treatment Outcome