title: Surgical, oncologic, and cosmetic differences between oncoplastic and nononcoplastic breast conserving surgery in breast cancer patients.
abstract: BACKGROUND
  There is a lack of information regarding the safety, complication rate, and cosmetic outcome of oncoplastic breast conserving surgery. The purpose of this study is to evaluate and compare oncoplastic and nononcoplastic procedures.
  
  
  METHODS
  A retrospective review was conducted of patients treated with oncoplastic or nononcoplastic lumpectomies. Immediate and long-term complication rates and cosmetic satisfaction were compared.
  
  
  RESULTS
  Of the 142 surgeries, 58 were oncoplastic lumpectomies (40.8%). Oncoplastic patients were younger than nononcoplastic patients (60.9 vs 65.2 years, P = .043). Immediate complications were similar with the exception of nonhealing wounds (oncoplastic = 8.6% vs nononcoplastic = 1.2%, P = .042). Cosmetic complaints were similar, but fat necrosis was more common in the oncoplastic group (25.9% vs 9.5%, P = .009). Time to radiation and number of future biopsies were similar between the groups.
  
  
  CONCLUSIONS
  Oncoplastic lumpectomy is a safe alternative to standard lumpectomy for selected breast cancer patients.
authors.affiliation: Department of Surgery, The University of Kansas School of Medicine - Wichita, 929 North Saint Francis Street, Room 3082, Wichita, KS 67214, USA; Via Christi Clinic, 1947 Founders' Circle Drive, Wichita, KS 67206, USA. Electronic address: Patty.Tenofsky@viachristi.org.
authors.forename: Patty L
authors.initials: PL
authors.lastname: Tenofsky
authors.affiliation: Department of Surgery, The University of Kansas School of Medicine - Wichita, 929 North Saint Francis Street, Room 3082, Wichita, KS 67214, USA.
authors.forename: Phaedra
authors.initials: P
authors.lastname: Dowell
authors.affiliation: Department of Surgery, The University of Kansas School of Medicine - Wichita, 929 North Saint Francis Street, Room 3082, Wichita, KS 67214, USA.
authors.forename: Terri
authors.initials: T
authors.lastname: Topalovski
authors.affiliation: Department of Surgery, The University of Kansas School of Medicine - Wichita, 929 North Saint Francis Street, Room 3082, Wichita, KS 67214, USA; Department of Medical Education, Via Christi Hospitals Wichita, 929 North Saint Francis Street, Room 3082, Wichita, KS 67214, USA.
authors.forename: Stephen D
authors.initials: SD
authors.lastname: Helmer
mesh_terms: D000368:Aged; D001943:Breast Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D015412:Mastectomy, Segmental / Q000009:adverse effects / Q000379:methods*; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: Breast; Complication; Long term; Lumpectomy; Oncoplasty; Short term