Cosmesis outcomes for sector resection for ductal carcinoma in situ (DCIS)

Ann Surg Oncol. 2014 Apr;21(4):1271-5. doi: 10.1245/s10434-013-3441-4. Epub 2014 Jan 1.

Abstract

Background: Oncoplastic surgery allows wide excision of pathology with greater margins in breast-conserving surgery (BCS) without compromising the shape of the breast. Oncoplastic techniques were used to remove a sector of tissue to fully excise ductal carcinoma in situ (DCIS) with a large margin, with relocation of the breast tissue to maintain normal shape. We assessed patient satisfaction with breast cosmesis after surgery as well as patients' psychosocial well-being.

Methods: A retrospective study was conducted of patients who underwent BCS alone for pure DCIS between 1995 and 2009, performed by two surgeons. The BREAST-Q questionnaire was modified for partial mastectomy to gain patients' perspectives on cosmetic outcomes and satisfaction after surgery. The questionnaire also assessed the emotional and sexual well-being of the patients.

Results: Overall, there was a high level of patient satisfaction, with 52 of 55 women (94 %) satisfied or very satisfied with their cosmetic outcome after partial mastectomy.

Conclusions: Oncoplastic techniques used for partial mastectomies to provide greater oncological clearance resulted in a high level of patient satisfaction after surgery.

MeSH terms

  • Breast Neoplasms / psychology
  • Breast Neoplasms / surgery*
  • Carcinoma, Intraductal, Noninfiltrating / psychology
  • Carcinoma, Intraductal, Noninfiltrating / surgery*
  • Female
  • Follow-Up Studies
  • Humans
  • Mammaplasty*
  • Mastectomy, Segmental*
  • Patient Satisfaction / statistics & numerical data*
  • Retrospective Studies
  • Surveys and Questionnaires
  • Treatment Outcome