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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