Factibilidad y resultado estético de la cirugía oncoplástica en el tratamiento de cáncer de mama

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Abstract

Background: Breast cancer is the leading oncological cause of death in Mexican women over25 years old. Given the need to improve postoperative cosmetic results in patients with breastcancer, oncoplastic surgery has been developed, which allows larger tumour resections andminor cosmetic alterations.Objective: To determine the oncological feasibility and cosmetic outcome of oncoplastic sur-gery at the Instituto de Enfermedades de la Mama, FUCAM, AC.Material and methods:A review was conducted from January 2010 to July 2013, which includedpatients with breast cancer diagnosis treated with conventional breast-conserving surgery orwith oncoplastic surgery in the Institute of Diseases of the Breast, FUCAM AC. Clinical andhistopathological parameters were compared between the two groups, and a questionnaire ofcosmetic satisfaction and quality of life was applied.Results: Of the 171 patients included, 95 of them were treated with conventional breast-conserving surgery and 76 with oncoplastic surgery. Pathological tumour size was significantlylarger in patients treated with oncoplastic surgery (p = 0.002). There were no differences foundbetween the groups as regards the number of patients with positive surgical margin, the rateof complications, and cosmetic satisfaction.Conclusion: This study demonstrates the oncological feasibility and high cosmetic satisfactionof oncoplastic surgery with minimal psycho-social impact on patients.

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Sherwell-Cabello, S., Maffuz-Aziz, A., Villegas-Carlos, F., Domínguez-Reyes, C., Labastida-Almendaro, S., & Rodríguez-Cuevas, S. (2015). Factibilidad y resultado estético de la cirugía oncoplástica en el tratamiento de cáncer de mama. Cirugia y Cirujanos (English Edition), 83(3), 199–205. https://doi.org/10.1016/j.circir.2015.05.015

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