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Dermoglandular Rotation Flaps for Breast-Conserving Therapy: Aesthetic Results, Patient Satisfaction, and Morbidity in Comparison to Standard Segmentectomy
Joint Authors
Hille-Betz, Ursula
Vaske, Bernhard
Henseler, Helga
Soergel, Philipp
Kundu, Sudip
Makowski, Lars
Schelcher, Sophia
Wojcinski, Sebastian
Hillemanns, Peter
Source
International Journal of Breast Cancer
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-11-04
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
We compared a dermoglandular rotation flap (DGR) in the upper inner, lower inner, and upper outer quadrant regarding similar aesthetic results, patient satisfaction, and comfort after breast-conserving therapy with standard segmentectomy (SE).
Between 2003 and 2011, 69 patients were treated with breast-conserving surgery using DGR for cancers with high tumor-to-breast volume ratios or skin resection in the three above mentioned quadrants; 161 patients with tumors in the same quadrants were treated with SE.
The outcome of the procedures was assessed at least 7 months after completed radiation therapy using a patient and breast surgeon questionnaire and the BCCT.core software.
Symmetry, visibility of the scars, the position of the nipple-areola complex, and the appearance of the treated breast were each assessed on a scale from 1 to 4 by an expert panel and by the patients.
Univariate and multivariate analysis were used to evaluate the relationship between patient-, tumor-, and treatment-dependent factors and patient satisfaction.
94.2% of the patients with rotation flaps and 83.5% of the patients with lumpectomy were very satisfied with the cosmetic appearance of their breast.
Younger patient age was significantly associated with a lower degree of satisfaction.
DGR provides good cosmetic results compared with SE and shows high patient satisfaction despite longer scarring and higher median resection volume.
American Psychological Association (APA)
Hille-Betz, Ursula& Vaske, Bernhard& Henseler, Helga& Soergel, Philipp& Kundu, Sudip& Makowski, Lars…[et al.]. 2014. Dermoglandular Rotation Flaps for Breast-Conserving Therapy: Aesthetic Results, Patient Satisfaction, and Morbidity in Comparison to Standard Segmentectomy. International Journal of Breast Cancer،Vol. 2014, no. 2014, pp.1-9.
https://search.emarefa.net/detail/BIM-1036298
Modern Language Association (MLA)
Hille-Betz, Ursula…[et al.]. Dermoglandular Rotation Flaps for Breast-Conserving Therapy: Aesthetic Results, Patient Satisfaction, and Morbidity in Comparison to Standard Segmentectomy. International Journal of Breast Cancer No. 2014 (2014), pp.1-9.
https://search.emarefa.net/detail/BIM-1036298
American Medical Association (AMA)
Hille-Betz, Ursula& Vaske, Bernhard& Henseler, Helga& Soergel, Philipp& Kundu, Sudip& Makowski, Lars…[et al.]. Dermoglandular Rotation Flaps for Breast-Conserving Therapy: Aesthetic Results, Patient Satisfaction, and Morbidity in Comparison to Standard Segmentectomy. International Journal of Breast Cancer. 2014. Vol. 2014, no. 2014, pp.1-9.
https://search.emarefa.net/detail/BIM-1036298
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1036298