THE COSMETIC RESULTS AFTER ONCOPLASTIC BREAST SURGERY IN IRANIAN WOMEN

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KAVIANI AHMAD; TASLIMI SHERVIN; ATHARI BAHADOR; YUNESIAN MASOUD; HOSSEINI MOSTAFA; RABBANI ABBAS

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Journal: Tehran University Medical Journal Year:2010 | Volume:68 | Issue:4 Page(s): 213-218

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Title

THE COSMETIC RESULTS AFTER ONCOPLASTIC BREAST SURGERY IN IRANIAN WOMEN

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Keywords

ONCOPLASTIC SURGERYQ2

BREASTQ3

NEOPLASMQ3

COSMETICQ3

OUTCOMEQ3

Abstract

Background: The ONCOPLASTIC SURGERY has been revolutionized BREAST conservative surgery. The aim of our study was to represent the COSMETIC OUTCOME of oncoplastic BREAST surgery in Iran and to evaluate its determinants.Methods: Fifty eight patients with unilateral BREAST NEOPLASM operated with single surgeon in Imam Khomeini Hospital, Tehran, Iran. Three view photographs were obtained pre and post operatively and were put in separate PowerPoint slides. The photographs were evaluated by six health related professionals. They scored the COSMETIC OUTCOME with modified questionnaire containing general and specific questions. Weighted kappa used for intra and inters rater reliability and ANOVA was used for analyzing COSMETIC OUTCOME determinants.Results: Generally, 72.2% of the photographs got the excellent or good score in a single BREAST evaluation part. Its items BREAST size, nipple deviation and scar quality scored 94.2, 67.9 and 88.8 respectively. “In comparison with contra-lateral BREAST” part shape asymmetry, need for surgery of contra lateral BREAST and size asymmetry scored 68.9, 75.8 and 69% respectively. Tumor size greater than two cm had poorer OUTCOME (p=0.039) upper outer quadrant tumor had the worst and upper inner quadrant tumors had the best OUTCOMEs (p<0.0001). Patient with 50 to 60 years of age had the poorest OUTCOMEs (p<0.0001). Weighted kappa for inter and intra rater kappa was 0.12 and 0.58 respectively.Conclusions: Acceptable COSMETIC OUTCOME is obtained in the first experience of oncoplastic BREAST surgery in Iran. Long term monitoring of oncologic and COSMETIC OUTCOMEs in greater numbers of patients is recommended.

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APA: Copy

KAVIANI, AHMAD, TASLIMI, SHERVIN, ATHARI, BAHADOR, YUNESIAN, MASOUD, HOSSEINI, MOSTAFA, & RABBANI, ABBAS. (2010). THE COSMETIC RESULTS AFTER ONCOPLASTIC BREAST SURGERY IN IRANIAN WOMEN. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 68(4), 213-218. SID. https://sid.ir/paper/38095/en

Vancouver: Copy

KAVIANI AHMAD, TASLIMI SHERVIN, ATHARI BAHADOR, YUNESIAN MASOUD, HOSSEINI MOSTAFA, RABBANI ABBAS. THE COSMETIC RESULTS AFTER ONCOPLASTIC BREAST SURGERY IN IRANIAN WOMEN. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)[Internet]. 2010;68(4):213-218. Available from: https://sid.ir/paper/38095/en

IEEE: Copy

AHMAD KAVIANI, SHERVIN TASLIMI, BAHADOR ATHARI, MASOUD YUNESIAN, MOSTAFA HOSSEINI, and ABBAS RABBANI, “THE COSMETIC RESULTS AFTER ONCOPLASTIC BREAST SURGERY IN IRANIAN WOMEN,” TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), vol. 68, no. 4, pp. 213–218, 2010, [Online]. Available: https://sid.ir/paper/38095/en

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