Volume 20 Issue 12
Dec.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(12): 2041-2044
XU Qi, ZHENG Li, XU Dan-ying, LIU Yue, SHEN Jing. Application of racquet-shaped incision mammoplasty in breast-conserving surgery for early-stage breast cancer patients[J]. Chinese Journal of General Practice, 2022, 20(12): 2041-2044. doi: 10.16766/j.cnki.issn.1674-4152.002765
Citation: XU Qi, ZHENG Li, XU Dan-ying, LIU Yue, SHEN Jing. Application of racquet-shaped incision mammoplasty in breast-conserving surgery for early-stage breast cancer patients[J]. Chinese Journal of General Practice, 2022, 20(12): 2041-2044. doi: 10.16766/j.cnki.issn.1674-4152.002765
shu

Application of racquet-shaped incision mammoplasty in breast-conserving surgery for early-stage breast cancer patients

doi: 10.16766/j.cnki.issn.1674-4152.002765
  • 1.

    Department of Breast Surgery, the Second Hospital of Jiaxing, Jiaxing, Zhejiang 314000, China

Funds:

 2018RC073

 2019AD32070

  • Received Date: 2022-06-04
    Available Online: 2023-02-07
    Abstract
  •   Objective  To compare the clinical efficacy of racquet-shaped incision mammoplasty and traditional breast-conserving surgery for early-stage breast cancer.  Methods  A total of 84 patients with early-stage breast cancer at the Second Hospital of Jiaxing and its Nanhu Branch from January 2019 to December 2020 were divided into experimental and control groups according to the random number table method, 42 cases in each group. The experimental group was treated with racquet-shaped incision mammoplasty, and the control group was treated with traditional breast-conserving surgery. The cosmetic effect, operation time, intraoperative blood loss, resected volume, rate of seroma, rate of positive margins in first resection, rate of infection and rate of mastectomy were compared between the two groups.  Results  An excellent to good rate of cosmetic effect was observed in the experimental group, with a value of 90.5%, which was higher than that of the control group (61.9%, P < 0.01). The resected volume in the experimental group was (89.4±23.1) mL, which was larger than that in the control group [(67.7±23.9) mL, P < 0.01]. The rate of seroma in the experimental group was 4.8%(2 cases), which was lower than that in the control group (45.2%, 19 cases, P < 0.01). The rate of positive margins in the first resection of the experimental group was 4.8% (2 cases), which was lower than that of the control group (19.0%, 8 cases, P < 0.05). No significant difference was observed in operative time, intraoperative blood loss, rate of infection and rate of mastectomy between the two groups (all P>0.05). The mean follow-up period was 25 months. All patients were free of local recurrence. There was 1 case of distant metastasis in each group, and there was no significant difference in the rate of distant metastasis between the two groups (P>0.05).  Conclusion  For early-stage breast cancer, racquet-shaped incision mammoplasty can improve breast aesthetics after operation and reduce the rates of seroma and positive margins in the first resection compared with traditional breast-conserving surgery. It is worth popularizing and applying.

     

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    • References(16)
  • [1]
    BRAY F, FERLAY J, SOERJOMATARAM I, et al. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2018, 68(6): 394-424. doi: 10.3322/caac.21492
    [2]
    NⅡNIKOSKI L, LEIDENIUS M H K, VAARA P, et al. Resection margins and local recurrences in breast cancer: Comparison between conventional and oncoplastic breast conserving surgery[J]. Eur J Surg Oncol, 2019, 45(6): 976-982. doi: 10.1016/j.ejso.2019.02.010
    [3]
    MARGENTHALER J A, DIETZ J R, CHATTERJEE A. The landmark series: Breast conservation trials (including oncoplastic breast surgery)[J]. Ann Surg Oncol, 2021, 28(4): 2120-2127. doi: 10.1245/s10434-020-09534-y
    [4]
    胡震. 保乳整形手术中的容量移位技术[J]. 中国实用外科杂志, 2019, 39(11): 1231-1234. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWK201911034.htm

    HU Z. The volume displacement methods in oncoplastic breast-conserving surgery[J]. Chinese Journal of Practical Surgery, 2019, 39(11): 1231-1234. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWK201911034.htm
    [5]
    OJALA K, MERETAJA T J, LEIDENIUS M H. Aesthetic and functional outcome after breast conserving surgery-comparison between conventional and oncoplastic resection[J]. Eur J Surg Oncol, 2017, 43(4): 658-664. doi: 10.1016/j.ejso.2016.11.019
    [6]
    郭瑢, 吴炅. 乳腺癌乳房整形外科应用现状与进展[J]. 中国肿瘤外科杂志, 2018, 10(3): 141-146. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLWK201803002.htm

    GUO R, WU J. Current status and progress of oncoplastic surgery and breast reconstruction after breast cance[J]. Chinese Journal of Surgical Oncology, 2018, 10(3): 141-146. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLWK201803002.htm
    [7]
    AWAD S, TARABAY A, QAHTANI F H, et al. Aesthetic monitoring-based assessment of oncological safety of oncoplastic management of breast cancer: A multi-center research study[J]. BMC Surg, 2021, 21(1): 414. doi: 10.1186/s12893-021-01410-0
    [8]
    邹云艳, 马燕, 马波, 等. 基于亲情疏导的心理护理对乳腺癌改良根治术后患者心理状态的影响[J]. 中华全科医学, 2020, 18(12): 2140-2143. doi: 10.16766/j.cnki.issn.1674-4152.001708

    ZOU Y Y, MA Y, MA B, et al. Effect of psychological nursing based on family counseling on psychological status of patients with breast cancer after modified radical mastectomy[J]. Chinese Journal of General Practice, 2020, 18(12): 2140-2143. doi: 10.16766/j.cnki.issn.1674-4152.001708
    [9]
    GRUJIC D, GIURGI-ONCU C, OPREAN C, et al. Well-being, depression, and anxiety following oncoplastic breast conserving surgery versus modified radical mastectomy followed by late breast reconstruction[J]. Int J Environ Res Public Health, 2021, 18(17): 9320. DOI: 10.3390/ijerph18179320.
    [10]
    MACILLAN R D, MCCULLEY S J. Oncoplastic breast surgery: What, when and for whom?[J]. Curr Breast Cancer Rep, 2016, 8: 112-117. doi: 10.1007/s12609-016-0212-9
    [11]
    ZHOU Y, LIU Y X, WANG Y, et al. Comparison of oncoplastic breast-conserving therapy and standard breast-conserving therapy in early-stage breast cancer patients[J]. Med Sci Monit, 2021, 1(27): e927015. DOI: 10.12659/MSM.927015.
    [12]
    BENJAMIN M A, SINNOTT C, BAWA S, et al. Re-excision rate after partial mastectomy in oncoplastic breast-conserving surgery: A single-institutional experience and review of the literature[J]. Ann Plast Surg, 2019, 82(4S Suppl 3): S170-S172. DOI: 10.1097/SAP.0000000000001874.
    [13]
    CANTVRK N Z, SIMSEK T, GVRDAL S Ö. Oncoplastic breast-conserving surgery according to tumor location[J]. Eur J Breast Health, 2021, 17(3): 220-233. doi: 10.4274/ejbh.galenos.2021.2021-1-2
    [14]
    ROSE M, SVENSSON H, HANDLER J, et al. Patient-reported outcome after oncoplastic breast surgery compared with conventional breast-conserving surgery in breast cancer[J]. Breast Cancer Res Treat, 2020, 180(1): 247-256. doi: 10.1007/s10549-020-05544-2
    [15]
    HUANG S C, QIU P, LI J W, et al. Strategies for the selection of oncoplastic techniques in the treatment of early-stage breast cancer patients[J]. Gland Surg, 2021, 10(5): 1687-1700.
    [16]
    ABIDI S S, VOHRA L M, JAVED M R, et al. Oncoplastic surgery: A suitable alternative to conventional breast conserving surgery in low-middle income countries; a retrospective cohort study[J]. Ann Med Surg, 2021, 29(68): 102618. DOI: 10.1016/j.amsu.2021.102618.
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