title: Comparison of outcomes of standard and oncoplastic breast-conserving surgery.
abstract: OBJECTIVE
  The aim of this study is to determine and to compare the oncological outcomes of bilateral reduction mammoplasty to standard breast-conserving surgery for breast cancer.
  
  
  METHODS
  One hundred sixty-two patients who received a quadrantectomy because of breast cancer (group 1) and 106 breast cancer patients with macromastia who underwent breast-conserving surgery via bilateral reduction mammoplasty (group 2) between 2003 and 2010 were enrolled in this study.
  
  
  RESULTS
  The mean follow-up time was 37 months for group 1 and 33 months for group 2. Surgical margins were wider than 2 mm in 82.7% and 10 mm in 76.5% of the patients in group 1. Eleven percent of patients had positive surgical margins in this group. When compared to group 2, the rates were 89%, 84%, and 8.4%, respectively. Three patients (1.8%) in group 1 and one patient (0.9%) in group 2 had local recurrence of the disease and received a mastectomy. No statistical significances were noted for either local recurrence or overall survival between the two groups.
  
  
  CONCLUSIONS
  Bilateral reduction mammoplasty has some advantages as compared to the standard conventional breast-conserving surgery techniques without having any unfavorable effects on surgical margin confidence, local recurrence, and survival rates.
authors.affiliation: Department of General Surgery, Ankara Oncology Training and Education Hospital, Ankara, Turkey.
authors.forename: Mehmet Ali
authors.initials: MA
authors.lastname: Gulcelik
authors.forename: Lutfi
authors.initials: L
authors.lastname: Dogan
authors.forename: Murat
authors.initials: M
authors.lastname: Yuksel
authors.forename: Mithat
authors.initials: M
authors.lastname: Camlibel
authors.forename: Cihangir
authors.initials: C
authors.lastname: Ozaslan
authors.forename: Erhan
authors.initials: E
authors.lastname: Reis
keywords: Breast neoplasms; Mammoplasty; Oncoplastic surgery; Segmental mastectomy