Factors influencing cosmetic results after breast conserving management (Turkish experience)

dc.contributor.authorÇetintaş, Sibel Kahraman
dc.contributor.authorSaran, Ankeeta
dc.contributor.authorKorkmazer, Engin
dc.contributor.buuauthorÖzkan, L.
dc.contributor.buuauthorKurt, Meral
dc.contributor.buuauthorTaşdelen, İsmet
dc.contributor.buuauthorTolunay, Şahsine
dc.contributor.buuauthorTopal, Uğur
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Dahili Tıp Bilimleri Bölümü/Radyasyon Onkolojisi Anabilim Dalı.tr_TR
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Dahili Tıp Bilimleri Bölümü/Patoloji Anabilim Dalı.tr_TR
dc.contributor.orcid0000-0003-1637-910Xtr_TR
dc.contributor.researcheridAAI-1612-2021tr_TR
dc.contributor.researcheridAAA-3961-2020tr_TR
dc.date.accessioned2021-08-31T11:11:25Z
dc.date.available2021-08-31T11:11:25Z
dc.date.issued2002-02
dc.description.abstractWe aimed to determine predictive factors affecting cosmetic results after breast conserving management in breast cancer. Data on 96 patients with 97 breast cancer cases, who had been admitted to Uludag University M.A. Radiotherapy Center between October 1995 and December 1998 and managed with breast-conserving treatment, were analysed to determine the factors affecting cosmetic outcome, Possible factors affecting cosmesis were grouped as patient-related. tumor-related and treatment-related. Mann-Whitney U test was used in univariate analyses whereas logistic regression was used in multivariate analyses. Median follow-up time was 29.5 months ranging between 11 and 53 months and median age at admission was 50 (range 22-84). Cosmetic results were grouped in five categories; excellent; good; fair; poor and, very poor, using criteria, such as presence of fibrosis, telangiectasia. shape of breast, asymmetry, status of areola, pigmentation. Treated breasts were scored by the patients. three radiation oncologists and a breast surgeon independently. In the analysis performed using scores given by the patients, cases with scores 3 and above (unsatisfactory) were compared with cases with scores below 3 (satisfactory). Eighty-two patients (84%) considered cosmetic result as satisfactory (excellent/good) whereas 15 patients (16%) considered unsatisfactory (fair/poor/very poor). In univariate analysis using Mann Whitney U test, type of surgery (P = 0.0655) was the statistically significant factors affecting cosmetic results. In multivariate analysis using logistic regression, tumor quadrant (P = 0.0060) and elapsed radiation therapy days (P = 0.0090) were the most significant factors. Median values were taken into consideration for the scores given by the physicians and cases with scores 3 and above (unsatisfactory) were compared with cases with scores below 3 (satisfactory). Eighty-two cases were evaluated as satisfactory (84%) whereas 15 cases were unsatisfactory (16%). In this set of data, patient age (P=0.0144), menopausal status (P=0.0111), institution which surgery was performed (P=0.0045), type of surgery (P = 0,0044), placement of metallic clips (P = 0.0083) and skin fibrosis (P = 0.038) were found to be significant in univariate analysis using Mann-Whitney U test. In multivariate analysis using logistic regression, institution where surgery took place (P=0.0015), menopausal status (P=0.0087) and telangiectasia (P=0.0657) were the most significant factors.en_US
dc.identifier.citationÇetintaş, S. K. vd. (2002). "Factors influencing cosmetic results after breast conserving management (Turkish experience)". Breast, 11(1), 72-80.en_US
dc.identifier.endpage80tr_TR
dc.identifier.issn0960-9776
dc.identifier.issue7tr_TR
dc.identifier.pubmed14965649tr_TR
dc.identifier.scopus2-s2.0-0036169494tr_TR
dc.identifier.startpage72tr_TR
dc.identifier.urihttps://doi.org/10.1054/brst.2001.0372
dc.identifier.urihttps://www.sciencedirect.com/science/article/pii/S0960977601903728
dc.identifier.urihttp://hdl.handle.net/11452/21576
dc.identifier.volume11tr_TR
dc.identifier.wos000173788300011tr_TR
dc.indexed.pubmedPubmeden_US
dc.indexed.scopusScopusen_US
dc.indexed.wosSCIEen_US
dc.language.isoenen_US
dc.publisherChurchill Livingstoneen_US
dc.relation.collaborationYurtiçitr_TR
dc.relation.journalBreasten_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergitr_TR
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectOncologyen_US
dc.subjectObstetrics & gynecologyen_US
dc.subjectAxillary dissectionen_US
dc.subjectConservative surgeryen_US
dc.subjectRadical-mastectomyen_US
dc.subjectRadiation-therapyen_US
dc.subjectRadiotherapyen_US
dc.subjectCanceren_US
dc.subjectCarcinomaen_US
dc.subjectQuadrantectomyen_US
dc.subjectComplicationsen_US
dc.subjectIrradiationen_US
dc.subject.scopusSegmental Mastectomy; Breast Reconstruction; Fat Necrosisen_US
dc.subject.wosOncologyen_US
dc.subject.wosObstetrics & gynecologyen_US
dc.titleFactors influencing cosmetic results after breast conserving management (Turkish experience)en_US
dc.typeArticle
dc.wos.quartileQ4en_US

Files

License bundle
Now showing 1 - 1 of 1
Name:
license.txt
Size:
1.71 KB
Format:
Item-specific license agreed upon to submission
Description: