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Metadados | Descrição | Idioma |
---|---|---|
Autor(es): dc.contributor | Universidade Estadual Paulista (Unesp) | - |
Autor(es): dc.contributor | Barretos Cancer Hospital | - |
Autor(es): dc.contributor | Londrina Cancer Hospital | - |
Autor(es): dc.contributor | Santa Casa de Misericórdia de Itapeva | - |
Autor(es): dc.contributor | Oswaldo Cruz German Hospital | - |
Autor(es): dc.contributor | FACISB School of Medicine | - |
Autor(es): dc.creator | de Oliveira-Junior, Idam [UNESP] | - |
Autor(es): dc.creator | Brandini da Silva, Fabíola Cristina | - |
Autor(es): dc.creator | Nazima, Flávio | - |
Autor(es): dc.creator | Ribeiro, José Carlos | - |
Autor(es): dc.creator | Castellani, Laurinda | - |
Autor(es): dc.creator | Zucca-Matthes, Gustavo | - |
Autor(es): dc.creator | Maciel, Maria do Socorro | - |
Autor(es): dc.creator | Biller, Gabriele | - |
Autor(es): dc.creator | José da Silva, Jonathas | - |
Autor(es): dc.creator | Sarri, Almir José | - |
Autor(es): dc.creator | Aloísio da Costa Vieira, René [UNESP] | - |
Data de aceite: dc.date.accessioned | 2022-02-22T00:48:02Z | - |
Data de disponibilização: dc.date.available | 2022-02-22T00:48:02Z | - |
Data de envio: dc.date.issued | 2021-06-25 | - |
Data de envio: dc.date.issued | 2021-06-25 | - |
Data de envio: dc.date.issued | 2019-12-31 | - |
Fonte completa do material: dc.identifier | http://dx.doi.org/10.1016/j.clbc.2020.09.012 | - |
Fonte completa do material: dc.identifier | http://hdl.handle.net/11449/206755 | - |
Fonte: dc.identifier.uri | http://educapes.capes.gov.br/handle/11449/206755 | - |
Descrição: dc.description | Background: Oncoplastic surgery (OS) has added plastic surgery concepts and techniques to the breast cancer surgery. However, reports of the impact of OS on cosmesis after breast-conserving surgery (BCS) are limited in the literature. Patients and Methods: This cross-sectional prospective study included patients who underwent BCS. The patients self-evaluated the cosmetic outcome of the breasts and had them photographed. The photos were evaluated by BCCT.core software and by 6 breast surgeons (mastologists and plastic surgeons) using the Harvard, Garbay, and Fitoussi scales. Kappa and weighted kappa tests were used to analyze agreement for categorical variables; for continuous variables, the interclass correlation index and the chi-square test to analyze the association between the OS and the symmetrization. Results: A total of 300 patients were evaluated: 228 (76.0%) underwent traditional BCS and 72 (24.0%) underwent OS, and of these, 37 (51.4%) underwent contralateral symmetrization surgery. In the evaluation of the cosmetic result, the correlation between patients and observers (BCCT.core and surgeons) was weak; between the 2 groups of surgeons, the correlation was moderate (Fitoussi scale) and excellent (Garbay scale). Plastic surgeons are more critical for evaluating cosmetic results; they considered it good or excellent in 30.0% whereas patients, mastologists, and BCCT.core results considered it so in 78.8%, 34.0%, and 30.0%, respectively. In terms of cosmesis, OS and symmetrization did not influence the results in this study with long follow-up. Conclusion: Patients’ self-evaluation reported better cosmesis than surgeons’ analyses. Plastic surgeons were the most critical. OS and symmetrization did not influence the results. | - |
Descrição: dc.description | Oncoplastic surgery (OS) has established itself as a safe treatment for breast cancer; however, its cosmetic evaluation remains little explored. After evaluating 300 patients undergoing breast-conserving treatment, with or without OS, we found that patients are more satisfied with the cosmetic outcome compared to observers (software and surgeons), and OS did not affect these results. | - |
Descrição: dc.description | Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) | - |
Descrição: dc.description | Postgraduate Program of Tocogynecology Botucatu Medical School Sao Paulo State University UNESP | - |
Descrição: dc.description | Nucleous of Mastology Barretos Cancer Hospital | - |
Descrição: dc.description | Postgraduate Program of Oncology Barretos Cancer Hospital | - |
Descrição: dc.description | Londrina Cancer Hospital | - |
Descrição: dc.description | Cancer Unit Santa Casa de Misericórdia de Itapeva | - |
Descrição: dc.description | Oswaldo Cruz German Hospital | - |
Descrição: dc.description | FACISB School of Medicine | - |
Descrição: dc.description | Postgraduate Program of Tocogynecology Botucatu Medical School Sao Paulo State University UNESP | - |
Descrição: dc.description | FAPESP: 2014/08197-0 | - |
Idioma: dc.language | en | - |
Relação: dc.relation | Clinical Breast Cancer | - |
???dc.source???: dc.source | Scopus | - |
Palavras-chave: dc.subject | Breast cancer | - |
Palavras-chave: dc.subject | Conserving surgery | - |
Palavras-chave: dc.subject | Conserving treatment | - |
Palavras-chave: dc.subject | Cosmetic techniques | - |
Palavras-chave: dc.subject | Oncoplastic | - |
Título: dc.title | Oncoplastic Surgery: Does Patient and Medical Specialty Influences the Evaluation of Cosmetic Results? | - |
Tipo de arquivo: dc.type | livro digital | - |
Aparece nas coleções: | Repositório Institucional - Unesp |
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