Comparison between endoscope-assisted partial mastectomy with filling of dead space using absorbable mesh and conventional conservative method on cosmetic outcome in patients with stage I or II breast cancer.
BACKGROUND
Studies comparing cosmetic outcome between conventional conservative method (CCM) and endoscope-assisted partial mastectomy (EAPM) are scarce.


METHODS
A total of 111 patients with stage I or II breast cancer who underwent CCM (n=51) or EAPM (n=60) were reviewed. Evaluation of cosmetic outcome consisted of a 3-level scoring method; breast retraction assessment (0-2), nipple deviation (0-2), atrophy (0-2), skin change (0-2), and scar (0-2). Total scores ≥7 were considered satisfactory. Score 2 was considered satisfactory for analysis by each scoring criterion.


RESULTS
EAPM had a higher rate of satisfactory results compared with CCM (71.7% vs. 52.9%; P=0.042), particularly for atrophy (55.0% vs. 29.4%; P=0.007), and scar (55.0% vs. 31.4%; P=0.012) and for location B (70.0% vs. 12.5%; P=0.025).


CONCLUSIONS
EAPM is superior to CCM for postoperative cosmetic outcome with respect to atrophy, scar, and lower tumor location.
Department of Breast & Endocrine Surgery, Japan Medical Alliance Higashi Saitama General Hospital, Kitakatsushika-gun, Saitama-ken, Japan. monochrome-rainbow@iijmio-mail.jp
Nobuyuki
N
Takemoto
Ai
A
Koyanagi
Hiroshi
H
Yamamoto
D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000523:psychology / Q000601:surgery*; D002921:Cicatrix / Q000517:prevention & control; D004724:Endoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods; D015412:Mastectomy, Segmental / Q000379:methods*; D008875:Middle Aged; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000517:prevention & control; D012189:Retrospective Studies; D013526:Surgical Mesh; D016896:Treatment Outcome