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Surg Laparosc Endosc Percutan Tech. 2012 Feb;22(1):68-72. doi: 10.1097/SLE.0b013e3182414b25.

Comparison between endoscope-assisted partial mastectomy with filling of dead space using absorbable mesh and conventional conservative method on cosmetic outcome in patients with stage I or II breast cancer.

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1
Department of Breast & Endocrine Surgery, Japan Medical Alliance Higashi Saitama General Hospital, Kitakatsushika-gun, Saitama-ken, Japan. monochrome-rainbow@iijmio-mail.jp

Abstract

BACKGROUND:

Studies comparing cosmetic outcome between conventional conservative method (CCM) and endoscope-assisted partial mastectomy (EAPM) are scarce.

PATIENTS AND METHODS:

A total of 111 patients with stage I or II breast cancer who underwent CCM (n=51) or EAPM (n=60) were reviewed. Evaluation of cosmetic outcome consisted of a 3-level scoring method; breast retraction assessment (0-2), nipple deviation (0-2), atrophy (0-2), skin change (0-2), and scar (0-2). Total scores ≥7 were considered satisfactory. Score 2 was considered satisfactory for analysis by each scoring criterion.

RESULTS:

EAPM had a higher rate of satisfactory results compared with CCM (71.7% vs. 52.9%; P=0.042), particularly for atrophy (55.0% vs. 29.4%; P=0.007), and scar (55.0% vs. 31.4%; P=0.012) and for location B (70.0% vs. 12.5%; P=0.025).

CONCLUSIONS:

EAPM is superior to CCM for postoperative cosmetic outcome with respect to atrophy, scar, and lower tumor location.

PMID:
22318064
DOI:
10.1097/SLE.0b013e3182414b25
[Indexed for MEDLINE]
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