Factors influencing cosmetic outcome of breast-conserving treatment in breast cancer: a narrative review

IF 0.5 4区医学 Q4 OBSTETRICS & GYNECOLOGY

European journal of gynaecological oncology Pub Date : 2021-06-15 DOI:10.31083/J.EJGO.2021.03.2285

A. Brands-Appeldoorn, S. Maaskant-Braat, L. Janssen, V. Tjan-Heijnen, R. Roumen

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引用次数: 0

Abstract

Background: A deformed breast following Breast-Conserving Treatment (BCT) is influenced by an array of factors encompassing final cosmesis. This overview examines the factors that may influence cosmetic outcome for BCT patients. Methods: Literature search was performed using PubMed and EMBASE databases. Research articles published in English (1990–2018) pertaining to patients that had previously undergone unilateral BCT for breast cancer were included. Results: 42 articles were used for our final analysis that utilized subjective and objective tools to assess cosmetic outcome. Factors can be allocated as patient, tumor, surgery, radiotherapy or systemic therapy associated. Based on significance in both univariable as well as multivariable analysis and frequency of reporting, extensiveness of primary tumor resection, tumor size, tumor location, adjuvant radiotherapy and adjuvant chemotherapy, were the factors affecting cosmetic outcome the most. Conclusions: In this study, we reviewed and discussed several patient-, tumorand treatment related factors affecting cosmetic outcome. Many different tools, either subjective or objective, are observed worldwide.

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影响乳腺癌保乳治疗美容效果的因素:综述

背景:保乳治疗(breast - conservation Treatment, BCT)后的畸形乳房受一系列包括最终美容在内的因素影响。本综述探讨了可能影响BCT患者美容结果的因素。方法:使用PubMed和EMBASE数据库进行文献检索。纳入了1990年至2018年期间发表的与之前接受过单侧乳腺癌BCT的患者相关的英文研究文章。结果:42篇文章用于我们的最终分析，使用主观和客观的工具来评估美容效果。因素可按患者、肿瘤、手术、放疗或全身治疗相关进行分配。从单变量分析和多变量分析的显著性以及报道频次来看，原发肿瘤切除的广泛性、肿瘤大小、肿瘤位置、辅助放疗和辅助化疗是影响美容效果的主要因素。结论:在本研究中，我们回顾并讨论了影响美容效果的几个与患者、肿瘤和治疗相关的因素。许多不同的工具，无论是主观的还是客观的，都在世界范围内被观察到。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European journal of gynaecological oncology 医学-妇产科学

自引率

25.00%

发文量

审稿时长

1 months

期刊介绍： EJGO is dedicated to publishing editorial articles in the Distinguished Expert Series and original research papers, case reports, letters to the Editor, book reviews, and newsletters. The Journal was founded in 1980 the second gynaecologic oncology hyperspecialization Journal in the world. Its aim is the diffusion of scientific, clinical and practical progress, and knowledge in female neoplastic diseases in an interdisciplinary approach among gynaecologists, oncologists, radiotherapists, surgeons, chemotherapists, pathologists, epidemiologists, and so on.