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Original Paper

Comparative Study of Surgical Margins and Cosmetic Outcome in Lumpectomy versus Segmental Resection in Breast Cancer

Eggemann H.a · Ignatov A.a · Krocker J.b · Neuss K.b · Elling D.b · John J.a · Costa S.-D.a

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aDepartment of Obstetrics and Gynecology, Otto-von-Guericke University, Magdeburg, and bDepartment of Obstetrics and Gynecology, Sana-Klinikum Lichtenberg, Berlin, Germany

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Eur Surg Res 2011;47:231–239

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: January 19, 2011
Accepted: July 20, 2011
Published online: November 02, 2011
Issue release date: December 2011

Number of Print Pages: 9
Number of Figures: 1
Number of Tables: 3

ISSN: 0014-312X (Print)
eISSN: 1421-9921 (Online)

For additional information: https://www.karger.com/ESR

Abstract

Objective: The aim of the present retrospective study was to compare two breast-conserving techniques, segmental resection and standard lumpectomy, for the treatment of breast cancer regarding their oncological safety. Quality of life aspects were evaluated by assessing the respective postsurgical cosmetic results. Patients and Methods: 190 women with breast cancer located in the superior and lateral quadrant were included in the study. Sixty patients were treated with segmental resection (group 1), whereas 130 underwent standard lumpectomy (group 2). Tumor sizes were determined and excised tissue specimens were analyzed for positive or negative resection margins. Patients were given a 16-item questionnaire for the postsurgical self-assessment of the cosmetic outcome. Results: No statistically significant difference was found concerning the number of positive resection margins between the groups (25 vs. 30%, p = 0.46). Exceptions were ventral margins, which predominated in group 2 (p = 0.016). Group 1 revealed a significantly larger maximum tumor size with negative margins as compared to group 2 (26.6 vs. 17.0 mm). General satisfaction with the cosmetic results was comparable between groups. Conclusions: Segmental resection surgery, as a method of breast conservation therapy, can be used to treat larger breast lesions as compared to standard lumpectomy.

© 2011 S. Karger AG, Basel


References

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Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: January 19, 2011
Accepted: July 20, 2011
Published online: November 02, 2011
Issue release date: December 2011

Number of Print Pages: 9
Number of Figures: 1
Number of Tables: 3

ISSN: 0014-312X (Print)
eISSN: 1421-9921 (Online)

For additional information: https://www.karger.com/ESR


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