Evaluation of a Retroglandular Oncoplastic Technique as a Standard Level I Oncoplastic Breast-Conserving Surgery: A Retrospective Clinicopathologic Study of 102 Patients With Breast Cancer

Zoltán Mátrai, Mihály Újhelyi, Tibor Kovács, Péter Kelemen, Ákos Sávolt, Eszter Kovács, Klára Éles, Norbert Mészáros, István Kenessey, Alexia Stamatiou, Dávid Pukancsik

Research output: Contribution to journalArticle

Abstract

Background: This study presents a novel Level I oncoplastic breast-conserving surgery technique for performing tumorectomy by retroglandular exploration through a skin incision made in the inferior mammary fold. Patients and Methods: A retrospective single-center cohort study involving patients with early-stage breast cancer (n = 102) was performed. The patient characteristics were recorded, as well as the quality of life rated by BREAST-Q. Postoperative complications were assessed using the Clavien-Dindo classification system. Esthetic outcomes were evaluated with Breast Cancer Conservative Treatment-cosmetic results (BCCT.core) software and a 5-point Likert scale. Results: The median follow-up time was 11 months (range, 7-25 months). The median specimen weight and operative time were 49.8 g (range, 13.4-117.9 g) and 40 minutes (range, 20-80 minutes), respectively. The mean pathologic tumor size was 15 mm (SD, ±7). Owing to positive surgical margins, re-excisions and mastectomies were performed in 13.7% and 2.9% of patients, respectively. The overall complication rate was 24.5% (n = 25), with the most common being seroma formation (13.7%; n = 14). The median Likert scale score was 4.3 (range, 2.1-5), and the median overall esthetic outcome assessed by BCCT.core was 2.1 points (range, 1-4 points). In BREAST-Q domains, the median scores of the “adverse effects of radiation,” “physical well-being,” the “satisfaction with breasts,” and the “psychosocial well-being” were 27, 35, 90, and 93, respectively. Conclusion: Retroglandular oncoplastic breast-conserving surgery is a novel, effective Level I oncoplastic technique for radical resection of breast tumors ≤ 3 cm in size. Additional advantages include the preservation of natural breast shape, the safety of the technique, and the lack of a need for contralateral symmetrization.

Original languageEnglish
Pages (from-to)e459-e467
JournalClinical Breast Cancer
Volume19
Issue number3
DOIs
Publication statusPublished - Jun 2019

Keywords

  • Breast-conserving surgical technique
  • Level I oncoplasty
  • Modern breast surgery
  • Oncoplastic breast-conserving surgery
  • Retroglandular tumorectomy technique

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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