Factors determining esthetic outcome after breast cancer conservative treatment

• Type: Article in International Scientific Journal
• Date: 2007

Authors

Maria J Cardoso (Author) Other; Jaime Cardoso (Author) FEUP; Ana C Santos (Author) FMUP; Conny Vrieling (Author) Other; David Christie (Author) Other; Goeran Liljegren (Author) Other; Isabel Azevedo (Author) Other; Jorgen Johansen (Author) Other; Jose Rosa (Author) Other; Natalia Amaral (Author) Other; Rauni Saaristo (Author) Other; Virgilio Sacchini (Author) Other; Henrique Barros (Author) FMUP; Manuel C Oliveira (Author) Other

Journal

Title: Breast Journal

Vol. 13

Pages: 140-146

ISSN: 1075-122X

Publisher: Wiley-Blackwell

Indexing

ISI Web of Knowledge - 57 Citations

Scopus - 62 Citations

Scientific classification

FOS: Medical and Health sciences > Clinical medicine

CORDIS: Technological sciences > Technology > Computer technology > Image processing

Other information

Authenticus ID: P-004-BA2

DOI: 10.1111/j.1524-4741.2007.00394.x

Abstract (EN): The aim of this study was to evaluate the factors that determine esthetic outcome after breast cancer conservative treatment, based on a consensual classification obtained with an international consensus panel. Photographs were taken from 120 women submitted to conservative unilateral breast cancer surgery (with or without axillary surgery) and radiotherapy. The images were sent to a panel of observers from 13 different countries and consensus on the classification of esthetic result (recorded as excellent, good, fair or poor) was obtained in 113 cases by means of a Delphi method. For each patient, data were collected retrospectively regarding patient characteristics, tumor, and treatment factors. Univariate and multivariate analysis were used to evaluate the correlation between these factors and overall cosmetic results. On univariate analysis, younger and thinner patients as well as patients with lower body mass index (BMI) and premenopausal status obtained better cosmetic results. In the group of tumor- and treatment-related factors, larger removed specimens, clearly visible scars, the use of chemotherapy and longer follow-up period were associated with less satisfactory results. On multivariate analysis, only BMI and scar visibility maintained a significant association with cosmesis. BMI and scar visibility are the only factors significantly associated with cosmetic results of breast cancer conservative treatment, as evaluated by an international consensus panel.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 7