Factors associated with breast symmetry after breast conserving surgery for cancer



Título del documento: Factors associated with breast symmetry after breast conserving surgery for cancer
Revista: Revista de investigación clínica
Base de datos: PERIÓDICA
Número de sistema: 000378708
ISSN: 0034-8376
Autores: 1
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Instituciones: 1Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Departamento de Cirugía, Tlalpan, Distrito Federal. México
Año:
Periodo: Sep-Oct
Volumen: 65
Número: 5
Paginación: 379-383
País: México
Idioma: Inglés
Tipo de documento: Estadística o encuesta
Enfoque: Descriptivo
Resumen en español fundamentalmente con una percepción subjetiva de la paciente. La única variable asociada a percepción subjetiva de asimetría fue un nivel educativo superior, posiblemente relacionado con una mayor expectativa cosmética en este grupo de pacientes
Resumen en inglés for treatment of early breast cancer. Factors associated with poor cosmetic results are not well described. The aim of the present study was to evaluate factors associated with breast asymmetry after BCS for invasive breast cancer. Material and methods. Patients who underwent unilateral BCS for invasive breast cancer and completed at least six months after radiation therapy were included. After informed consent, patients answered a validated questionnaire for breast symmetry. Demographic, clinical-pathological and surgical variables were recorded. Bilateral breast volume was measured in office and volume difference > 20% was considered objective asymmetry. Variables were analyzed with χ2 test and significance was considered at p < 0.05. Results. One-hundred and thirtythree patients were included. Mean patient age was 56 ± 9 years. Most patients were married (78%) with educational level of high school or greater (50.8%). Mean body mass index (BMI) was 25 ± 8. Twelve percent of patients underwent ≥ 2 surgical procedures. Eighty-one percent of patients had tumors > 1 cm. Twenty-two percent of patients had objective breast asymmetry and 27% perceived themselves with asymmetry. There were no significant relationship between objective and subjective asymmetry. The only variable significantly associated with perception of breast asymmetry was educational level ≥ high school. Conclusions. There was no relationship between subjective and objective breast asymmetry after BCS, suggesting that cosmetic results are mainly related to patient subjective perception. The only variable associated with subjective breast asymmetry was high educational level, possibly because higher cosmetic expectations in this group of patients
Disciplinas: Medicina
Palabras clave: Cirugía,
Cáncer,
Mama,
Cirugía conservadora,
Simetría,
Estética
Keyword: Medicine,
Surgery,
Cancer,
Breast,
Conserving surgery,
Symmetry,
Aesthetics
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