alexa

GET THE APP

Dersleri yüzünden oldukça stresli bir ruh haline sikiş hikayeleri bürünüp özel matematik dersinden önce rahatlayabilmek için amatör pornolar kendisini yatak odasına kapatan genç adam telefonundan porno resimleri açtığı porno filmini keyifle seyir ederek yatağını mobil porno okşar ruh dinlendirici olduğunu iddia ettikleri özel sex resim bir masaj salonunda çalışan genç masör hem sağlık hem de huzur sikiş için gelip masaj yaptıracak olan kadını gördüğünde porn nutku tutulur tüm gün boyu seksi lezbiyenleri sikiş dikizleyerek onları en savunmasız anlarında fotoğraflayan azılı erkek lavaboya geçerek fotoğraflara bakıp koca yarağını keyifle okşamaya başlar
A Comparison Between Oncoplastic Breast Conserving Surgery andStandard Wide Local Excision: A UK Experience | OMICS International| Abstract
ISSN: 2572-4118

Breast Cancer: Current Research
Open Access

Our Group organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations
700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)
  • Research Article   
  • Breast Can Curr Res, Vol 1(1): 102
  • DOI: 10.4172/2572-4118.1000102

A Comparison Between Oncoplastic Breast Conserving Surgery andStandard Wide Local Excision: A UK Experience

Saira Khawaja*, Abrar Saiyed, Darmiga Thayabaran, Sujatha Udayasankar, Joel Dias, Anita M Huws, Yousef Sharaiha and Simon DH Holt
Peony Breast Care Centre, Prince Philip Hospital, , Llanelli, Carmarthenshire, South Wales, SA14 8QF, UK
*Corresponding Author : Dr. Saira Khawaja, Department of Breast Surgery, Prince Philip Hospital, Llanelli, Wales, SA14 8QF, UK, Tel: 00441554783383, Email: [email protected]

Received Date: Nov 25, 2015 / Accepted Date: Dec 29, 2015 / Published Date: Dec 31, 2015

Abstract

Background: The goal of breast conserving surgery is to achieve complete excision of the tumor with adequate surgical margins, while preserving the natural shape and appearance of the breast. This is a retrospective study which compared operative outcomes in oncoplastic (OPS; n=54) versus standard wide local excision (WLE; n=265) populations. A total of 319 consecutive patients were included in the study. The primary outcomes were the size of the tumor, weight of the specimen and margin clearance. The secondary outcomes were patient satisfaction, local recurrence rates and operative time.

Methods: A retrospective comparison of patients undergoing breast conservation from November 2011 to January 2015 was undertaken. This time period was chosen as oncoplastic breast conservation (OPS) was introduced at our breast unit in 2011. The majority of these latter surgeries involved volume displacement methods. Demographic data was collected. Statistical analysis was performed using SPSS software.

Results: Our results demonstrated that OPS excised significantly larger tumors (p<0.05) of greater weights (p<0.05) with little cosmetic penalty. There was no significant difference in margin clearance (p = 0.10) or the number of patients requiring further surgery in both groups (p=0.254).

Conclusion: OPS provides a better cosmetic and oncological result compared to standard wide local excisions based on the weight and size of the tumor. Margin clearance is comparable in both groups. When breast conserving surgery is recommended, oncoplastic methods provide a better outcome in patients requiring a larger excision and can decrease the mastectomy rate in cases of larger tumors.

Keywords: Breast conserving surgery; Oncoplastic breast surgery; Wide local excision; Breast cancer; Cosmesis

Citation: Khawaja S, Saiyed A, Thayabaran D, Udayasankar S, Dias J, et al. (2015) A Comparison Between Oncoplastic Breast Conserving Surgery and Standard Wide Local Excision: A UK Experience. J Blood Lymph 1:102. Doi: 10.4172/2572-4118.1000102

Copyright: © 2015 Khawaja S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Top