Title: |
Innovative modified T-shape oncoplastic technique for early-stage breast cancer: multicenter retrospective study. |
Authors: |
Wenjie Shi, Keqing Li, Wanwan Wang, Xuefeng Shi, Zhongyi Li, Torres-de La Roche, Luz Angela, Kai Xu, Rui Zhuo |
Source: |
Frontiers in Oncology; 2024, p1-9, 9p |
Subject Terms: |
MAMMAPLASTY, BREAST cancer, PROPENSITY score matching, SURVIVAL analysis (Biometry), RETROSPECTIVE studies, BREAST tumors |
Abstract: |
Inadequate tissue volume at the lower pole of the breast following tumor excision can compromise aesthetic outcomes when employing the conventional inverted-T reconstruction technique. With the aim of reducing postoperative deformities, we have refined this technique. A total of 104 patients underwent the T technique, while 32 underwent the modified T technique and 72 underwent the traditional T technique. In this study, we present the surgical outcomes of the modified T technique group and compare both surgical and oncological outcomes with those of the traditional T technique group. In the modified T technique group, the average tumor size was 23.34 mm, and the mean operation duration was 107.75 min, which was significantly shorter than that of the traditional T technique (p = 0.039). Additionally, the average blood loss was 95.93 mL, which was significantly lower than that of the traditional T technique (p = 0.011). Although complication rates did not differ significantly between the two groups (p = 0.839), the modified T technique yielded superior aesthetic outcomes compared to the traditional T technique (p = 0.019). Survival analysis indicated no significant difference in 5-year recurrence-free survival between the two groups, both before and after propensity score matching (p = 0.381 vs. p = 0.277). As part of our series of oncoplastic techniques for the lower breast quadrant, the modified inverted-T technique utilizes a cost-effective flap to address lower pole defects, mitigating deformities and restoring the breast's natural shape. [ABSTRACT FROM AUTHOR] |
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Database: |
Complementary Index |