Selection of oncoplastic surgery in Asian breast cancer patients.

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Selection of oncoplastic surgery in Asian breast cancer patients.

Arch Plast Surg. 2017 Oct 27;:

Authors: Shin ES, Kim HI, Song SY, Lew DH, Lee DW

Abstract
Background: Oncoplastic surgery is increasingly performed in Korean women; however, unlike Westerners, Korean women usually have small- to moderate-sized breasts. To achieve better outcomes in reconstructed breasts, several factors determining the optimal surgical method should be considered.
Methods: A total of 108 patients who underwent oncoplastic surgery from January 2013 to December 2016 were retrospectively investigated. We used various methods, including glandular tissue reshaping, latissimus dorsi (LD) flap transposition, and reduction oncoplasty to restore the breast volume and symmetry.
Results: The mean weight of the tumor specimen was 40.46 g and tumor specimen to breast volume ratio was 0.12 g/cc in the glandular tissue reshaping group (n=59), 101.47 g and 0.14 g/cc in the reduction oncoplasty group (n=17), and 82.54 g and 0.20 g/cc in the LD flap group (n=32). Glandular tissue reshaping was mostly performed in the upper outer quadrant and LD flap transposition in the lower inner quadrant. No major complications were noted. Most patients were satisfied with the aesthetic results.
Conclusions: We had satisfactory outcomes of oncoplastic surgeries in Korean patients. The results about specimen weight and tumor to breast ratio of Asian patients will be a helpful reference to determine the method of oncoplastic surgery.

PMID: 29076313 [PubMed - as supplied by publisher]