title: Long-term results of oncoplastic breast surgery with latissimus dorsi flap reconstruction: a pilot study of the objective cosmetic results and patient reported outcome.
abstract: OBJECTIVE
  The goal of oncoplastic breast surgery is to restore the appearance of the breast and improve patient satisfaction. Thus, the assessment of cosmetic results and patient-reported outcomes (PROs) using appropriately constructed and validated instruments is essential. The aim of the present study was to assess the long-term objective cosmetic results and corresponding PROs after oncoplastic breast surgery.
  
  
  METHODS
  Cosmetic results were assessed by the patients, a medical panel, and a computer program (BCCT.core). PROs were assessed using BREAST-Q, a questionnaire that measures the perception of patients having breast surgery. The cosmetic results and PROs were analyzed in patients who underwent quadrantectomy and partial breast reconstruction utilizing the latissimus dorsi flap.
  
  
  RESULTS
  The mean duration of the follow-up period was 91.6 months (range, 33.3-171.0 months), and mean age of the patients was 51 years old (range, 33-72 years). The mean tumor size was 2.1 cm (range, 0.9-5.5 cm). There was fair agreement between the medical panel and BCCT.core score (K = 0.32, P < 0.001), and a statistically significant correlation between the BCCT.core score and medical panel cosmetic results was identified (r = 0.606, P < 0.001). A better BCCT.core result was related to a higher PRO of each BREAST-Q domain-satisfaction with breasts (R(2) = 0.070, P = 0.039), satisfaction with outcome (R(2) = 0.087, P = 0.021), psychosocial well-being (R(2) = 0.085, P = 0.023), sexual well-being (R(2) = 0.082, P = 0.029), and satisfaction with information (R(2) = 0.064, P = 0.049).
  
  
  CONCLUSIONS
  Our long-term results of oncoplastic surgery achieved a high level of patient satisfaction with good cosmetic results. The medical panel and BCCT.core results correlated well with the PROs of the patients using valid, reliable, and procedure-specific measures.
authors.affiliation: Department of Surgery, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
authors.forename: Kyeong-Deok
authors.initials: KD
authors.lastname: Kim
authors.affiliation: Department of Surgery, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
authors.forename: Zisun
authors.initials: Z
authors.lastname: Kim
authors.affiliation: Department of Surgery, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
authors.forename: Jung Cheol
authors.initials: JC
authors.lastname: Kuk
authors.affiliation: Department of Surgery, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
authors.forename: Jaehong
authors.initials: J
authors.lastname: Jeong
authors.affiliation: Department of Surgery, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
authors.forename: Kyu Sung
authors.initials: KS
authors.lastname: Choi
authors.affiliation: Department of Surgery, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
authors.forename: Sung Mo
authors.initials: SM
authors.lastname: Hur
authors.affiliation: Department of Surgery, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
authors.forename: Gui Ae
authors.initials: GA
authors.lastname: Jeong
authors.affiliation: Department of Surgery, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
authors.forename: Jun Chul
authors.initials: JC
authors.lastname: Chung
authors.affiliation: Department of Surgery, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
authors.forename: Gyu Seok
authors.initials: GS
authors.lastname: Cho
authors.affiliation: Department of Surgery, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
authors.forename: Eung Jin
authors.initials: EJ
authors.lastname: Shin
authors.affiliation: Department of Surgery, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
authors.forename: Hyung Chul
authors.initials: HC
authors.lastname: Kim
authors.affiliation: Department of Plastic and Reconstructive Surgery, Soonchunhyang University Seoul Hospital, Seoul, Korea.
authors.forename: Sang-Gue
authors.initials: SG
authors.lastname: Kang
authors.affiliation: Department of Surgery, Soonchunhyang University Seoul Hospital, Seoul, Korea.
authors.forename: Min Hyuk
authors.initials: MH
authors.lastname: Lee
authors.affiliation: Department of Surgery, Soonchunhyang University Bucheon Hospital, Bucheon, Korea.
authors.forename: Cheol Wan
authors.initials: CW
authors.lastname: Lim
keywords: Breast; Carcinoma; Quality of life; Superficial back muscles; Surgical flap