From Radical Mastectomy to Breast-Conserving Therapy and Oncoplastic Breast Surgery: A Narrative Review Comparing Oncological Result, Cosmetic Outcome, Quality of Life, and Health Economy
Identifieur interne : 003E90 ( Pmc/Curation ); précédent : 003E89; suivant : 003E91From Radical Mastectomy to Breast-Conserving Therapy and Oncoplastic Breast Surgery: A Narrative Review Comparing Oncological Result, Cosmetic Outcome, Quality of Life, and Health Economy
Auteurs : Ahmad Kaviani [Iran] ; Nassim Sodagari [Iran] ; Sara Sheikhbahaei [Iran] ; Vahid Eslami [Iran] ; Nima Hafezi-Nejad [Iran] ; Amin Safavi [Iran] ; Maryam Noparast [Iran] ; Alfred Fitoussi [France]Source :
- ISRN Oncology [ 2090-5661 ] ; 2013.
Abstract
Surgical management of breast cancer has evolved considerably over the last two decades. There has been a major shift toward less-invasive local treatments, from radical mastectomy to breast-conserving therapy (BCT) and oncoplastic breast surgery (OBS). In order to investigate the efficacy of each of the three abovementioned methods, a literature review was conducted for measurable outcomes including local recurrence, survival, cosmetic outcome, quality of life (QOL), and health economy. From the point of view of oncological result, there is no difference between mastectomy and BCT in local recurrence rate and survival. Long-term results for OBS are not available. The items assessed in the QOL sound a better score for OBS in comparison with mastectomy or BCT. OBS is also associated with a better cosmetic outcome. Although having low income seems to be associated with lower BCT and OBS utilization, prognosis of breast cancer is worse in these women as well. Thus, health economy is the matter that should be studied seriously. OBS is an innovative, progressive, and complicated subspeciality that lacks published randomized clinical trials comparing surgical techniques and objective measures of outcome, especially from oncologic and health economy points of view.
Url:
DOI: 10.1155/2013/742462
PubMed: 24167743
PubMed Central: 3791839
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<author><name sortKey="Hafezi Nejad, Nima" sort="Hafezi Nejad, Nima" uniqKey="Hafezi Nejad N" first="Nima" last="Hafezi-Nejad">Nima Hafezi-Nejad</name>
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<author><name sortKey="Noparast, Maryam" sort="Noparast, Maryam" uniqKey="Noparast M" first="Maryam" last="Noparast">Maryam Noparast</name>
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<author><name sortKey="Fitoussi, Alfred" sort="Fitoussi, Alfred" uniqKey="Fitoussi A" first="Alfred" last="Fitoussi">Alfred Fitoussi</name>
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<series><title level="j">ISRN Oncology</title>
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<front><div type="abstract" xml:lang="en"><p>Surgical management of breast cancer has evolved considerably over the last two decades. There has been a major shift toward less-invasive local treatments, from radical mastectomy to breast-conserving therapy (BCT) and oncoplastic breast surgery (OBS). In order to investigate the efficacy of each of the three abovementioned methods, a literature review was conducted for measurable outcomes including local recurrence, survival, cosmetic outcome, quality of life (QOL), and health economy. From the point of view of oncological result, there is no difference between mastectomy and BCT in local recurrence rate and survival. Long-term results for OBS are not available. The items assessed in the QOL sound a better score for OBS in comparison with mastectomy or BCT. OBS is also associated with a better cosmetic outcome. Although having low income seems to be associated with lower BCT and OBS utilization, prognosis of breast cancer is worse in these women as well. Thus, health economy is the matter that should be studied seriously. OBS is an innovative, progressive, and complicated subspeciality that lacks published randomized clinical trials comparing surgical techniques and objective measures of outcome, especially from oncologic and health economy points of view.</p>
</div>
</front>
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<pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">ISRN Oncol</journal-id>
<journal-id journal-id-type="iso-abbrev">ISRN Oncol</journal-id>
<journal-id journal-id-type="publisher-id">ISRN.ONCOLOGY</journal-id>
<journal-title-group><journal-title>ISRN Oncology</journal-title>
</journal-title-group>
<issn pub-type="ppub">2090-5661</issn>
<issn pub-type="epub">2090-567X</issn>
<publisher><publisher-name>Hindawi Publishing Corporation</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">24167743</article-id>
<article-id pub-id-type="pmc">3791839</article-id>
<article-id pub-id-type="doi">10.1155/2013/742462</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Review Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>From Radical Mastectomy to Breast-Conserving Therapy and Oncoplastic Breast Surgery: A Narrative Review Comparing Oncological Result, Cosmetic Outcome, Quality of Life, and Health Economy</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Kaviani</surname>
<given-names>Ahmad</given-names>
</name>
<xref ref-type="aff" rid="I1"><sup>1</sup>
</xref>
<xref ref-type="aff" rid="I2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sodagari</surname>
<given-names>Nassim</given-names>
</name>
<xref ref-type="aff" rid="I1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Sheikhbahaei</surname>
<given-names>Sara</given-names>
</name>
<xref ref-type="aff" rid="I3"><sup>3</sup>
</xref>
<xref ref-type="aff" rid="I4"><sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Eslami</surname>
<given-names>Vahid</given-names>
</name>
<xref ref-type="aff" rid="I4"><sup>4</sup>
</xref>
<xref ref-type="aff" rid="I5"><sup>5</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Hafezi-Nejad</surname>
<given-names>Nima</given-names>
</name>
<xref ref-type="aff" rid="I3"><sup>3</sup>
</xref>
<xref ref-type="aff" rid="I6"><sup>6</sup>
</xref>
<xref ref-type="aff" rid="I7"><sup>7</sup>
</xref>
<xref ref-type="corresp" rid="cor1">*</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Safavi</surname>
<given-names>Amin</given-names>
</name>
<xref ref-type="aff" rid="I2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Noparast</surname>
<given-names>Maryam</given-names>
</name>
<xref ref-type="aff" rid="I2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Fitoussi</surname>
<given-names>Alfred</given-names>
</name>
<xref ref-type="aff" rid="I8"><sup>8</sup>
</xref>
</contrib>
</contrib-group>
<aff id="I1"><sup>1</sup>
Department of General Surgery, Tehran University of Medical Sciences (TUMS), P.O. Box 13145-158, Tehran, Iran</aff>
<aff id="I2"><sup>2</sup>
Kaviani Breast Disease Institute (KBDI), P.O. Box 14358-6443, Tehran, Iran</aff>
<aff id="I3"><sup>3</sup>
School of Medicine/Public Health, Tehran University of Medical Sciences (TUMS), P.O. Box 1416135, Tehran, Iran</aff>
<aff id="I4"><sup>4</sup>
Student's Scientific Research Centre (SSRC), Tehran University of Medical Sciences (TUMS), P.O. Box 14155-6537, Tehran, Iran</aff>
<aff id="I5"><sup>5</sup>
Sina Trauma and Surgery Research Centre, Tehran University of Medical Sciences (TUMS), P.O. Box 11365-3876, Tehran, Iran</aff>
<aff id="I6"><sup>6</sup>
The Young Scholars Club, No. 8 West Niloofar Street, Africa (Jordan) Avenue, Tehran, Iran</aff>
<aff id="I7"><sup>7</sup>
Iran's National Elite Foundation, No. 17 Haghighat Talab Street, Southern Nejatollahi Avenue, Tehran, Iran</aff>
<aff id="I8"><sup>8</sup>
Department of Surgery, Institute Curie, P.O. Box 75005, Paris, France</aff>
<author-notes><corresp id="cor1">*Nima Hafezi-Nejad: <email>nimahn@gmail.com</email>
</corresp>
<fn fn-type="other"><p>Academic Editors: P. Clavère, O. Hansen, R. V. Sionov, and K. van Golen</p>
</fn>
</author-notes>
<pub-date pub-type="collection"><year>2013</year>
</pub-date>
<pub-date pub-type="epub"><day>12</day>
<month>9</month>
<year>2013</year>
</pub-date>
<volume>2013</volume>
<elocation-id>742462</elocation-id>
<history><date date-type="received"><day>10</day>
<month>7</month>
<year>2013</year>
</date>
<date date-type="accepted"><day>30</day>
<month>7</month>
<year>2013</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2013 Ahmad Kaviani et al.</copyright-statement>
<copyright-year>2013</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by/3.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><p>Surgical management of breast cancer has evolved considerably over the last two decades. There has been a major shift toward less-invasive local treatments, from radical mastectomy to breast-conserving therapy (BCT) and oncoplastic breast surgery (OBS). In order to investigate the efficacy of each of the three abovementioned methods, a literature review was conducted for measurable outcomes including local recurrence, survival, cosmetic outcome, quality of life (QOL), and health economy. From the point of view of oncological result, there is no difference between mastectomy and BCT in local recurrence rate and survival. Long-term results for OBS are not available. The items assessed in the QOL sound a better score for OBS in comparison with mastectomy or BCT. OBS is also associated with a better cosmetic outcome. Although having low income seems to be associated with lower BCT and OBS utilization, prognosis of breast cancer is worse in these women as well. Thus, health economy is the matter that should be studied seriously. OBS is an innovative, progressive, and complicated subspeciality that lacks published randomized clinical trials comparing surgical techniques and objective measures of outcome, especially from oncologic and health economy points of view.</p>
</abstract>
</article-meta>
</front>
</pmc>
</record>
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