title: The role of oncoplastic breast reduction in the conservative management of breast cancer: Complications, survival, and quality of life.
abstract: OBJECTIVE
  Reduction Mammaplasty (RM) in breast cancer allows mammary remodeling after wide excisions. We aimed to analyze the complications, survival, and quality of life after RM.
  
  
  METHODS
  Retrospective study of women who underwent a surgical intervention for breast cancer between 2000 and 2016. Patients were divided into two groups: RM and tumorectomy. Postoperative complications, survival and quality of life were assessed using the Breast-Q questionnaire.
  
  
  RESULTS
  A total of 801 patients were evaluated, with a mean follow up of 84 months. RM patients experienced a longer operating time and hospital stay, and a higher proportion of tissue necrosis compared to tumorectomy patients (P < 0.001). No significant differences were observed regarding rate of re-excision or rate of mastectomy, but the recurrence rate at 10 years was higher for RM patients (P < 0.03). Patients who underwent RM reported optimal satisfaction with the breast and a good quality of life.
  
  
  CONCLUSIONS
  RM is a useful approach in breast cancer surgery, with a low rate of re-excision and mastectomy. Overall survival at 10 years is similar to that associated with tumorectomy, though with a higher rate of local recurrence. Patient satisfaction and quality of life appears to be good one year after radiotherapy.
authors.affiliation: Unidad de Mama. Servicio de Cirugía General, Instituto de Investigación Biomédica A Coruña (INIBIC), Complejo Hospitalario Universitario A Coruña, 15004, A Coruña, Spain.
authors.forename: Benigno
authors.initials: B
authors.lastname: Acea-Nebril
authors.affiliation: Unidad de Mama. Servicio de Cirugía General, Instituto de Investigación Biomédica A Coruña (INIBIC), Complejo Hospitalario Universitario A Coruña, 15004, A Coruña, Spain.
authors.forename: Carmen
authors.initials: C
authors.lastname: Cereijo-Garea
authors.affiliation: Unidad de Mama. Servicio de Cirugía General, Instituto de Investigación Biomédica A Coruña (INIBIC), Complejo Hospitalario Universitario A Coruña, 15004, A Coruña, Spain.
authors.forename: Alejandra
authors.initials: A
authors.lastname: García-Novoa
authors.affiliation: Unidad de Mama. Servicio de Cirugía General, Instituto de Investigación Biomédica A Coruña (INIBIC), Complejo Hospitalario Universitario A Coruña, 15004, A Coruña, Spain.
authors.forename: Cristina
authors.initials: C
authors.lastname: Varela-Lamas
authors.affiliation: Unidad de Mama. Servicio de Cirugía General, Instituto de Investigación Biomédica A Coruña (INIBIC), Complejo Hospitalario Universitario A Coruña, 15004, A Coruña, Spain.
authors.forename: Sergio
authors.initials: S
authors.lastname: Builes-Ramírez
authors.affiliation: Unidad de Mama. Servicio de Cirugía General, Instituto de Investigación Biomédica A Coruña (INIBIC), Complejo Hospitalario Universitario A Coruña, 15004, A Coruña, Spain.
authors.forename: Alberto
authors.initials: A
authors.lastname: Bouzón-Alejandro
authors.affiliation: Unidad de Mama. Servicio de Cirugía General, Instituto de Investigación Biomédica A Coruña (INIBIC), Complejo Hospitalario Universitario A Coruña, 15004, A Coruña, Spain.
authors.forename: Joaquín
authors.initials: J
authors.lastname: Mosquera-Oses
mesh_terms: D001943:Breast Neoplasms / Q000601:surgery*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000009:adverse effects / Q000379:methods*; D015412:Mastectomy, Segmental / Q000379:methods*; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D011788:Quality of Life; D012189:Retrospective Studies; D015996:Survival Rate; D016896:Treatment Outcome
keywords: breast-Q questionnaire; macromastia; multifocal/multicentric tumors