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Original Article
Comparison of Oncoplastic Breast Surgery, Non-oncoplastic Breast Conserving Surgery and Mastectomy in Early Breast Cancer: A Single Center Retrospective Study
Julide Sagiroglu
1*, Ibrahim A. Ozemir
1, Tunc Eren
1, Fatih Akkin
1, Aman Gapbarov
1, Ozlem Okur
1, Hakan Baysal
1, Ozgur Ekinci
1, Ayse B. Ceyran
2, Esra Tozan Bayrak
3, Turkan Ozturk
4, Gurhan Bas
1, Orhan Alimoglu
11 Istanbul Medeniyet University Medical Faculty, Department of General Surgery, Istanbul, Turkey
2 Istanbul Kadikoy Florence Nightingale Hospital, Department of Pathology, Istanbul, Turkey
3 Istanbul Medeniyet University Medical Faculty, Department of Radiology, Istanbul, Turkey
4 Istanbul GOP Hospital, Department of Medical Oncology, Istanbul, Turkey
*Corresponding Author: *Corresponding Author: Julide Sagiroglu, MD; Address: Cevahir cad., Soyak Yenisehir Sitesi Selale Evleri, E2-31, 34760, Umraniye, Istanbul, Turkey. Tel: +90-505 865 9259, Email: , Email:
sagirj@gmail.com
Abstract
Background: Surgical procedures applied in the treatment of early breast cancer (EBC) to achieve satisfactory oncological results lie in a wide spectrum. There has been a major shift toward less-invasive treatments during the past decades. We compared the outcomes of oncoplastic breast surgery (OBS), non-oncoplastic breast conserving surgery (NBCS) and mastectomy in the treatment of EBC.
Methods: The records of 412 patients with EBC who underwent OBS, NBCS or mastectomy at our institution between January 2012 and June 2019 were retrospectively analyzed. Postoperative complications, local recurrences (LR) and disease-free survival (DFS) were compared between the groups. EBC patients with unilateral stage-I, IIa and IIb tumors were studied. All patients received adjuvant, targeted and/or endocrine therapy according to the tumor characteristics, followed by radiotherapy (all OBS and NBCS cases, and selected mastectomy patients).
Results: Postoperative complications were similar in all groups except for six fat necrosis and partial nipple-areola necrosis in two diabetic patients treated with OBS. Re-excision rate was lower in OBS (6.5%) than NBCS (8%). There was no statistical difference between the groups regarding recurrence (P=1.000) or DFS (P=0.937).
Conclusion: OBS, NBCS and mastectomy are equally acceptable procedures in EBC in terms of both oncological and surgical aspects.
Cite this article as: Sagiroglu J, Ozemir Ia, Eren T, Akkin F, Gapbarov A, Okur O, et al. Comparison of Oncoplastic Breast Surgery, Non-oncoplastic Breast Conserving Surgery and Mastectomy in Early Breast Cancer: A Single Center Retrospective Study. Arch Iran Med. Arch Iran Med. 2021;24(5):390-396. doi: 10.34172/aim.2021.56