title: Long-term oncological results of breast conservative treatment with oncoplastic surgery.
abstract: Oncoplastic surgery combining breast conservative treatment (BCT) and plastic surgery techniques may allow more extensive breast resections and improve aesthetic outcomes, but no long-term oncological results have been published. Long-term oncologic results of 148 consecutive BCT with concomitant bilateral plastic surgery have been analysed and were compared to historical data of BCT trials. Median follow-up was 74 months. Complete excision was obtained in 135 patients (91%); focally involved margins in 8 (5%); and close (<2 mm) margins in 5 (3%). Five patients developed ipsilateral recurrence (3%), 19 (13%) developed distant metastasis and 11 patients died (7.53%). Patients with tumours larger than 2 cm were at greater risk of local recurrences and distant metastasis. Long-term oncologic results of BCT with oncoplastic surgery are comparable with the results of BCT randomized trials.
authors: Department of Plastic and Reconstructive Surgery, European Institute of Oncology, Milan, Italy.
authors: M
authors: M
authors: Rietjens
authors: C A
authors: CA
authors: Urban
authors: P C
authors: PC
authors: Rey
authors: G
authors: G
authors: Mazzarol
authors: P
authors: P
authors: Maisonneuve
authors: C
authors: C
authors: Garusi
authors: M
authors: M
authors: Intra
authors: S
authors: S
authors: Yamaguchi
authors: N
authors: N
authors: Kaur
authors: F
authors: F
authors: De Lorenzi
authors: A G Z
authors: AG
authors: Matthes
authors: S
authors: S
authors: Zurrida
authors: J Y
authors: JY
authors: Petit
mesh_terms: D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008197:Lymph Node Excision; D016462:Mammaplasty; D015412:Mastectomy, Segmental; D008875:Middle Aged; D013997:Time Factors; D016896:Treatment Outcome