title: [Feasibility and cosmetic outcome of oncoplastic surgery in breast cancer treatment].
abstract: BACKGROUND
  Breast cancer is the leading oncological cause of death in Mexican women over 25 years old. Given the need to improve postoperative cosmetic results in patients with breast cancer, oncoplastic surgery has been developed, which allows larger tumour resections and minor cosmetic alterations.
  
  
  OBJECTIVE
  To determine the oncological feasibility and cosmetic outcome of oncoplastic surgery at the Instituto de Enfermedades de la Mama, FUCAM, AC.
  
  
  METHODS
  A review was conducted from January 2010 to July 2013, which included patients with breast cancer diagnosis treated with conventional breast-conserving surgery or with oncoplastic surgery in the Institute of Diseases of the Breast, FUCAM AC. Clinical and histopathological parameters were compared between the two groups, and a questionnaire of cosmetic satisfaction and quality of life was applied.
  
  
  RESULTS
  Of the 171 patients included, 95 of them were treated with conventional breast-conserving surgery and 76 with oncoplastic surgery. Pathological tumour size was significantly larger in patients treated with oncoplastic surgery (p = 0.002). There were no differences found between the groups as regards the number of patients with positive surgical margin, the rate of complications, and cosmetic satisfaction.
  
  
  CONCLUSIONS
  This study demonstrates the oncological feasibility and high cosmetic satisfaction of oncoplastic surgery with minimal psycho-social impact on patients.
authors.affiliation: Departamento de Cirugía Oncológica de Mama, Instituto de Enfermedades de la Mama, FUCAM A.C., Coyoacán D.F., México. Electronic address: sherwell@gmail.com.
authors.forename: Santiago
authors.initials: S
authors.lastname: Sherwell-Cabello
authors.affiliation: Departamento de Cirugía Oncológica de Mama, Instituto de Enfermedades de la Mama, FUCAM A.C., Coyoacán D.F., México.
authors.forename: Antonio
authors.initials: A
authors.lastname: Maffuz-Aziz
authors.affiliation: Departamento de Cirugía Oncológica de Mama, Instituto de Enfermedades de la Mama, FUCAM A.C., Coyoacán D.F., México.
authors.forename: Felipe
authors.initials: F
authors.lastname: Villegas-Carlos
authors.affiliation: Departamento de Cirugía Oncológica de Mama, Instituto de Enfermedades de la Mama, FUCAM A.C., Coyoacán D.F., México.
authors.forename: Carlos
authors.initials: C
authors.lastname: Domínguez-Reyes
authors.affiliation: Departamento de Investigación y Bioestadística, Instituto de Enfermedades de la Mama, FUCAM A.C., Coyoacán D.F., México.
authors.forename: Sonia
authors.initials: S
authors.lastname: Labastida-Almendaro
authors.affiliation: Departamento de Cirugía Oncológica de Mama, Instituto de Enfermedades de la Mama, FUCAM A.C., Coyoacán D.F., México.
authors.forename: Sergio
authors.initials: S
authors.lastname: Rodríguez-Cuevas
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000601:surgery*; D004954:Esthetics; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008408:Mastectomy; D015412:Mastectomy, Segmental; D008875:Middle Aged; D011446:Prospective Studies; D012189:Retrospective Studies; D016896:Treatment Outcome
keywords: Breast cancer; Cirugía oncoplástica; Cáncer de mama; Oncoplastic surgery; Tratamiento; Treatment