title: Efficacy and patient satisfaction of breast conserving therapy for central breast cancer by the B technique.
abstract: OBJECTIVE
  To evaluate the oncologic safety and cosmetic results after breast cancer surgery for central breast cancer by the B technique.
  
  
  METHODS
  Seventy women with operable breast cancer located in the central portion of the breast that had received resection surgery with the B technique were recruited. The primary outcome was the oncological safety, quantified as rate of positive resection margins and the cosmetic outcome evaluated by postsurgical self-assessment of the cosmetic outcome via questionnaire. The median follow-up period was 61.4 months (range 7.9-142.6 months).
  
  
  RESULTS
  With one exception all patients had T1-2 tumors less than 5 cm in diameter. Most patients had invasive ductal breast cancers (57.1 %), followed by ductal carcinoma-in situ (27.1 %) and invasive lobular breast cancers (8.6 %). The incidence of positive resection margins was 17.1 %. No local tumor recurrence occurred during follow-up; one patient had distant metastases. In total, 80 % of the patients reported that the cosmetic results met or exceeded their expectations.
  
  
  CONCLUSIONS
  The B technique is a safe breast conservation surgery for the excision of tumors located in the central portion of the breast and yields a high rate of satisfactory cosmetic results.
authors.affiliation: Department of Obstetrics and Gynecology, Otto-von-Guericke University, Magdeburg, Germany. holm.eggemann@med.ovgu.de
authors.forename: Holm
authors.initials: H
authors.lastname: Eggemann
authors.forename: A
authors.initials: A
authors.lastname: Ignatov
authors.forename: D
authors.initials: D
authors.lastname: Elling
authors.forename: D
authors.initials: D
authors.lastname: Lampe
authors.forename: T
authors.initials: T
authors.lastname: Lantzsch
authors.forename: M
authors.initials: M
authors.lastname: Weise
authors.forename: S-D
authors.initials: SD
authors.lastname: Costa
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000473:pathology / Q000523:psychology / Q000601:surgery*; D018270:Carcinoma, Ductal, Breast / Q000473:pathology / Q000523:psychology / Q000601:surgery*; D002285:Carcinoma, Intraductal, Noninfiltrating / Q000473:pathology / Q000523:psychology / Q000601:surgery*; D018275:Carcinoma, Lobular / Q000473:pathology / Q000523:psychology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015412:Mastectomy, Segmental; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000473:pathology / Q000523:psychology / Q000601:surgery*; D009367:Neoplasm Staging; D017060:Patient Satisfaction; D011183:Postoperative Complications; D011379:Prognosis; D012189:Retrospective Studies