Six-year follow-up of patients treated with oncoplastic reduction mammoplasty: a cohort study

Kabir, S., Stallard, S., Weiler-Mithoff, E.-M., Mansell, J., Mallon, E., Doughty, J. and Romics, L. (2016) Six-year follow-up of patients treated with oncoplastic reduction mammoplasty: a cohort study. International Journal of Surgery, 26, pp. 38-42. (doi: 10.1016/j.ijsu.2016.01.001) (PMID:26763347)

Abstract

Background: Current evidence for the oncological safety of oncoplastic breast conservation is poor as it is based mostly on short-term follow-up data. Hence, we report long-term recurrence rates in patients treated with oncoplastic reduction mammoplasty (ORM). Methods: A prospectively maintained database was searched to identify patients who underwent ORM between 2005 and 2010. A retrospective review of medical records was carried out, including patients with ductal carcinoma in situ and invasive breast cancer. Results: Follow-up data from 65 consecutive patients with ORM were reviewed, of which 50 patients were eligible to measure long-term recurrence rates. The average weight of the resected tissue was 272 g altogether. The mean preoperative tumour size was 2.95 cm on imaging. 64% of patients had stage II – III cancers. Incomplete excision rate after ORM was 16.1%, completion mastectomy rate was 10.7%. During a median follow-up of 72 months, 2% local, 6% distant recurrence rates were detected. The breast cancer-specific survival rate was 96% per cent. Conclusions: Based on these long-term follow-up data, ORM is an oncologically safe treatment option.

• Item Type: Articles
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Romics, Mr Laszlo and Mallon, Dr Elizabeth and Doughty, Miss Julie and Mansell, Dr James and Weiler-Mithoff, Mrs Eva
• Authors: Kabir, S., Stallard, S., Weiler-Mithoff, E.-M., Mansell, J., Mallon, E., Doughty, J., and Romics, L.
• College/School: College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
• Journal Name: International Journal of Surgery
• Publisher: Elsevier
• ISSN: 1743-9191
• ISSN (Online): 1743-9159