Department of Surgical Oncology, BP Koirala Memorial Cancer Hospital, Bharatpur, Chitwan, Nepal.
Cancer Research Associate, Nepal Cancer Education Foundation, Tokha-4, Dhapasi, Kathmandu, Nepal.
Kathmandu Univ Med J (KUMJ). 2023 Jul-Sep;21(83):250-253.
Background The principle of oncoplastic surgery is the removal of tumors with negative margins as well as maintaining the contour of the breast. The goals are to achieve local control and best cosmesis. Objective The objective of this study was to assess patients' satisfaction with different techniques of simple oncoplastic breast conserving surgery (BCS) for early breast cancer. Method This was a retrospective study of early breast cancer cases operated during the period 2009 to 2017. All the patients were under regular follow up for at least five years after surgery. Original Harvard/NSABP/RTOG scale was used to evaluate cosmesis at one year after surgery. Result Median age of the patients was 43 years with median size of tumor being 2.5 cm. All of the patients had good to excellent cosmetic outcome. One patient (4.5%) had margin positivity. All patients were disease free and happy with the cosmesis at five years although one patient did not have whole breast radiotherapy. Conclusion Simple oncoplastic breast conserving surgery techniques in upper part of breast are simple, feasible and improve cosmetic outcome with low margin positivity and good disease-free five-year survival.
背景 肿瘤整形手术的原则是在保证切缘阴性的情况下切除肿瘤，并保持乳房的外形。其目标是实现局部控制和最佳的美容效果。 目的 本研究旨在评估不同的简单保乳术式（BCS）治疗早期乳腺癌患者的满意度。 方法 这是一项回顾性研究，纳入了 2009 年至 2017 年期间手术治疗的早期乳腺癌病例。所有患者在手术后至少随访 5 年。术后 1 年采用原始的哈佛/NSABP/RTOG 量表评估美容效果。 结果 患者的中位年龄为 43 岁，肿瘤的中位大小为 2.5cm。所有患者的美容效果均为良好至优秀。1 例（4.5%）患者切缘阳性。所有患者均无疾病且对 5 年的美容效果满意，尽管有 1 例患者未接受全乳放疗。 结论 乳房上部的简单肿瘤整形保乳术式简单、可行，可改善美容效果，切缘阳性率低，5 年无病生存率良好。
