title: Oncoplastic reduction mammoplasty for breast cancer in women with macromastia: long term aesthetic, functional and satisfaction outcomes.
abstract: OBJECTIVE
  Despite the increase in studies concerning oncoplastic reduction mammoplasty (ORM), data showing long-term aesthetic and patient satisfaction for ORM in patients with macromastia remain limited. Therefore, this study evaluated the long-term results of tumorectomy and concomitant bilateral ORM for early-stage breast cancer patients with macromastia in terms of cosmesis, patient satisfaction, and functional outcomes.
  
  
  METHODS
  Retrospective data of patients with macromastia undergoing ORM for breast cancer between 1996 and 2011 were examined and evaluated regarding the aesthetic results, patient satisfaction, and functional outcomes.
  
  
  RESULTS
  The median age of the 82 patients was 50 years. The median follow-up was 120 months (range: 28-212 months). The median breast volume was 1402 cm(3), and the median weight of the excised breast material was 679 g. A good or excellent evaluation of the cosmetic outcome was as follows: self-evaluation: 84.1% at the early-stage, 80.3% at the later stage; panel evaluation: 75.4% at the late-stage. Median patient satisfaction rates were 9.1% for early-stage disease and 8.8% for late-stage disease. Reduced mobility and intertrigo improved by three-fold during the post-operative period.
  
  
  CONCLUSIONS
  ORM for early-stage breast cancer in women with macromastia results in good cosmesis in both the early-stage and long-term, and is quite acceptable for use in patients. Patients reacted favorably to the prospect of having their breast cancer and macromastia treated in a single session, and positive results continued over the long-term.
authors.affiliation: Department of General Surgery, Tepecik Training and Research Hospital, Izmir, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Emiroglu
authors.affiliation: Department of General Surgery, Tepecik Training and Research Hospital, Izmir, Turkey.
authors.forename: Cem
authors.initials: C
authors.lastname: Karaali
authors.affiliation: Department of General Surgery, Tepecik Training and Research Hospital, Izmir, Turkey.
authors.forename: Semra
authors.initials: S
authors.lastname: Salimoglu
authors.affiliation: Department of General Surgery, Tepecik Training and Research Hospital, Izmir, Turkey.
authors.forename: Ismail
authors.initials: I
authors.lastname: Sert
authors.affiliation: Department of General Surgery, Tepecik Training and Research Hospital, Izmir, Turkey.
authors.forename: Cengiz
authors.initials: C
authors.lastname: Aydın
keywords: breast cancer; cosmesis; macromastia; oncoplastic reduction mammoplasty; satisfaction