title: Cosmesis outcomes for sector resection for ductal carcinoma in situ (DCIS).
abstract: BACKGROUND
  Oncoplastic surgery allows wide excision of pathology with greater margins in breast-conserving surgery (BCS) without compromising the shape of the breast. Oncoplastic techniques were used to remove a sector of tissue to fully excise ductal carcinoma in situ (DCIS) with a large margin, with relocation of the breast tissue to maintain normal shape. We assessed patient satisfaction with breast cosmesis after surgery as well as patients' psychosocial well-being.
  
  
  METHODS
  A retrospective study was conducted of patients who underwent BCS alone for pure DCIS between 1995 and 2009, performed by two surgeons. The BREAST-Q questionnaire was modified for partial mastectomy to gain patients' perspectives on cosmetic outcomes and satisfaction after surgery. The questionnaire also assessed the emotional and sexual well-being of the patients.
  
  
  RESULTS
  Overall, there was a high level of patient satisfaction, with 52 of 55 women (94 %) satisfied or very satisfied with their cosmetic outcome after partial mastectomy.
  
  
  CONCLUSIONS
  Oncoplastic techniques used for partial mastectomies to provide greater oncological clearance resulted in a high level of patient satisfaction after surgery.
authors.affiliation: Department of Breast and Endocrine Surgery, Flinders Medical Centre, Adelaide, SA, Australia, drbfosh@gmail.com.
authors.forename: Beverley
authors.initials: B
authors.lastname: Fosh
authors.forename: Alison
authors.initials: A
authors.lastname: Hainsworth
authors.forename: Jesse
authors.initials: J
authors.lastname: Beumer
authors.forename: Benjamin
authors.initials: B
authors.lastname: Howes
authors.forename: William
authors.initials: W
authors.lastname: McLeay
authors.forename: Michael
authors.initials: M
authors.lastname: Eaton
mesh_terms: D001943:Breast Neoplasms / Q000523:psychology / Q000601:surgery*; D002285:Carcinoma, Intraductal, Noninfiltrating / Q000523:psychology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016462:Mammaplasty; D015412:Mastectomy, Segmental; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D016896:Treatment Outcome