+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Cosmetic evaluation of breast conserving treatment for mammary cancer. 1. Proposal of a quantitative scoring system

Cosmetic evaluation of breast conserving treatment for mammary cancer. 1. Proposal of a quantitative scoring system

Radiotherapy and Oncology 16(3): 159-168

In a population of 142 patients with stage I and II breast cancer, treated with tumor excision and external radiotherapy, using a wide range of radiaiton doses and fractionation schedules, an attempt was made to quantify the cosmetic outcome. Quantitative measurements of nipple displacement and breast contour retraction were compared and correlated with qualitative scoring by a panel. In the vast majority, the quantitative assessments correlate very well with subjective, qualitative scoring, making this method relevant for clinical use. There are a few exceptions, mainly cases where localized skin changes such as severe teleangiectasia or skin necrosis affect strongly the cosmetic result but can go undetected in this measuring system. Also limited surgical deformations, which can detract seriously from cosmetic success, particularly when they occur in the medio inferior quadrants, can not always be assessed by this method. The routine use of these measurements in clinical practice is very simple. Only one photograph, taken in standard conditions is needed. Measurements can be carried out quickly, using the plotting device of a treatment planning system. This system may be of great use for follow-up of new treatment modalities and the study of the development of radiation fibrosis in breast cancer.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 007165469

Download citation: RISBibTeXText

PMID: 2587807

DOI: 10.1016/0167-8140(89)90016-9

Related references

Cosmetic evaluation of breast conserving treatment for mammary cancer. 2. A quantitative analysis of the influence of radiation dose, fractionation schedules and surgical treatment techniques on cosmetic results. Radiotherapy and Oncology 16(4): 253-268, 1989

In Search of a Gold Standard Scoring System for the Subjective Evaluation of Cosmetic Outcomes Following Breast-Conserving Therapy. Breast Journal 21(4): 345-351, 2016

Factors affecting cosmetic outcome in breast-conserving cancer treatment--objective quantitative assessment. Breast Cancer Research and Treatment 20(2): 85-92, 1992

Proposal for a gold standard for cosmetic evaluation after breast conserving therapy: Results from the St George and Wollongong Breast Boost trial. Journal of Medical Imaging and Radiation Oncology 61(6): 819-825, 2017

Patient evaluation of cosmetic outcome after conserving surgery for treatment of primary breast cancer. European Journal of Surgical Oncology 25(4): 344-346, 1999

Change of cosmetic results in time, evaluation of parameters influencing cosmetic results after breast conserving therapy in patients with breast cancer. EJC Supplements 1(5): S132, 2003

Cosmetic outcome and breast morbidity in breast-conserving treatment--results from the Danish DBCG-82TM national randomized trial in breast cancer. Acta Oncologica 41(4): 369-380, 2002

Cosmetic outcome and percentage of breast volume excision in oncoplastic breast-conserving surgery: a proposal. World Journal of Surgery 34(9): 2260; Author Reply 2261, 2010

Cosmetic Consequences of Breast-Conserving Treatment for Breast Cancer: Something Worth Talking About. Oncologist 2018, 2018

Quantitative and qualitative cosmetic evaluation after conservative treatment for breast cancer. Breast Cancer Research & Treatment 19(2): 186, 1991

Cosmetic evaluation methods adapted to asian patients after breast-conserving surgery and examination of the necessarily elements for cosmetic evaluation. Journal of Breast Cancer 18(1): 80-86, 2015

Cosmetic and functional outcomes of breast conserving treatment for early stage breast cancer: 2. Relationship with psychosocial functioning. Radiotherapy and Oncology 25(3): 160-166, 1992

Long-term radiation sequelae after breast-conserving therapy in women with early-stage breast cancer: An observational study using the LENT-SOMA scoring system. International Journal of Radiation Oncology Biology Physics 55(3): 651-658, March 1, 2003

Comparison of cosmetic outcome between peroperative implants and implants after external beam treatment in the breast conserving treatment for breast cancer. European Journal of Cancer 38(Supplement 3): S151, 2002

Evaluation of irradiated breast tissue volume and cosmetic outcome in conserving treatment using intraoperative Ir 192 HDR brachytherapy boost. European Journal of Cancer Supplements 4(2): 101-102, 2006