To evaluate the aesthetic results of oncoplastic surgery (OPS) techniques in breast cancer patients, highlighting its significance in treatment.
Key Findings:
Median cosmetic score for both type I and type II OPS was 8.
Type II OPS scored one point lower than type I OPS in the first quartile (P < 0.05).
Distribution of cosmetic ratings for type I surgery: 58.4% excellent, 38.4% good, 3.2% fair; for type II surgery: 48.2% excellent, 46.3% good, 5.4% fair (P = 0.124).
Round block, lateral perforator flap, bilateral mammoplasty, and racquet techniques had superior outcomes compared to the batwing technique (P < 0.05).
Significant association between nipple-areolar complex position and OPS technique (P = 0.013).
Interpretation:
The surgical algorithm used facilitated acceptable aesthetic outcomes regardless of tumor size and location, with the round block approach yielding the highest cosmetic ratings, suggesting its potential as a preferred technique.
Limitations:
Limited evidence comparing cosmetic outcomes of various OPS techniques may restrict the applicability of findings to broader populations.
Conclusion:
Oncoplastic surgery can achieve satisfactory aesthetic results in breast cancer patients, with specific techniques showing better outcomes, which may inform clinical decision-making.
