Breast-Contour-Preserving Procedure as a Multidisciplinary Parameter of Esthetic Outcome in Breast Cancer Treatment in The Netherlands

Annnelotte van Bommel (Corresponding Author), Pauline Spronk, Marc Mureau, Sabine Siesling, Carolien Smorenburg, Rob Tollenaar, Marie Jeanne Vrancken Peeters, Thijs van Dalen

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Abstract

Background: The rate of breast-conserving surgery (BCS) is used as an esthetic outcome parameter, while other treatments contribute also, such as neoadjuvant chemotherapy (NAC) enabling BCS or immediate breast reconstruction (IBR). This study explores these efforts to preserve the patient’s breast contour. Patients and Methods: All patients who underwent surgery for invasive breast cancer in The Netherlands between January 2011 and December 2015 were selected from the Dutch national breast cancer audit (n = 61,309). The breast-contour-preserving procedures (BCPP) rate was defined as the rate of primary BCS, BCS after NAC, or mastectomy with IBR. BCPP rates were calculated and compared by year of diagnosis, age categories, and individual hospitals. Results: The rate of primary BCS remained stable (53%) while the BCPP rate increased from 63% in 2011 to 71% in 2015 due to an increase in patients receiving BCS after NAC and mastectomy with IBR. Primary BCS rates increased with age (from 17% in patients aged < 30 years to 63% in patients aged 60–69 years), while the proportion of patients undergoing mastectomy with IBR decreased from 44% in patients < 30 years to 1% in patients ≥ 70 years. The BCPP rate was similar for all age groups except for patients > 70 years. BCPP rates varied between the different hospitals in The Netherlands, ranging from 47 to 88%. Conclusions: The chance of preserving the breast contour for patients with breast cancer has increased substantially over recent years. BCPP provides a comprehensive parameter of esthetic outcome of breast cancer surgery.

Original languageEnglish
Pages (from-to)1704-1711
Number of pages8
JournalAnnals of surgical oncology
Volume26
Issue number6
Early online date4 Mar 2019
DOIs
Publication statusPublished - 1 Jun 2019

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Segmental Mastectomy
Esthetics
Netherlands
Breast
Breast Neoplasms
Mammaplasty
Mastectomy
Drug Therapy
Therapeutics

Keywords

  • UT-Hybrid-D

Cite this

van Bommel, Annnelotte ; Spronk, Pauline ; Mureau, Marc ; Siesling, Sabine ; Smorenburg, Carolien ; Tollenaar, Rob ; Vrancken Peeters, Marie Jeanne ; van Dalen, Thijs. / Breast-Contour-Preserving Procedure as a Multidisciplinary Parameter of Esthetic Outcome in Breast Cancer Treatment in The Netherlands. In: Annals of surgical oncology. 2019 ; Vol. 26, No. 6. pp. 1704-1711.
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title = "Breast-Contour-Preserving Procedure as a Multidisciplinary Parameter of Esthetic Outcome in Breast Cancer Treatment in The Netherlands",
abstract = "Background: The rate of breast-conserving surgery (BCS) is used as an esthetic outcome parameter, while other treatments contribute also, such as neoadjuvant chemotherapy (NAC) enabling BCS or immediate breast reconstruction (IBR). This study explores these efforts to preserve the patient’s breast contour. Patients and Methods: All patients who underwent surgery for invasive breast cancer in The Netherlands between January 2011 and December 2015 were selected from the Dutch national breast cancer audit (n = 61,309). The breast-contour-preserving procedures (BCPP) rate was defined as the rate of primary BCS, BCS after NAC, or mastectomy with IBR. BCPP rates were calculated and compared by year of diagnosis, age categories, and individual hospitals. Results: The rate of primary BCS remained stable (53{\%}) while the BCPP rate increased from 63{\%} in 2011 to 71{\%} in 2015 due to an increase in patients receiving BCS after NAC and mastectomy with IBR. Primary BCS rates increased with age (from 17{\%} in patients aged < 30 years to 63{\%} in patients aged 60–69 years), while the proportion of patients undergoing mastectomy with IBR decreased from 44{\%} in patients < 30 years to 1{\%} in patients ≥ 70 years. The BCPP rate was similar for all age groups except for patients > 70 years. BCPP rates varied between the different hospitals in The Netherlands, ranging from 47 to 88{\%}. Conclusions: The chance of preserving the breast contour for patients with breast cancer has increased substantially over recent years. BCPP provides a comprehensive parameter of esthetic outcome of breast cancer surgery.",
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van Bommel, A, Spronk, P, Mureau, M, Siesling, S, Smorenburg, C, Tollenaar, R, Vrancken Peeters, MJ & van Dalen, T 2019, 'Breast-Contour-Preserving Procedure as a Multidisciplinary Parameter of Esthetic Outcome in Breast Cancer Treatment in The Netherlands' Annals of surgical oncology, vol. 26, no. 6, pp. 1704-1711. https://doi.org/10.1245/s10434-019-07265-3

Breast-Contour-Preserving Procedure as a Multidisciplinary Parameter of Esthetic Outcome in Breast Cancer Treatment in The Netherlands. / van Bommel, Annnelotte (Corresponding Author); Spronk, Pauline; Mureau, Marc; Siesling, Sabine; Smorenburg, Carolien; Tollenaar, Rob; Vrancken Peeters, Marie Jeanne; van Dalen, Thijs.

In: Annals of surgical oncology, Vol. 26, No. 6, 01.06.2019, p. 1704-1711.

Research output: Contribution to journalArticleAcademicpeer-review

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T1 - Breast-Contour-Preserving Procedure as a Multidisciplinary Parameter of Esthetic Outcome in Breast Cancer Treatment in The Netherlands

AU - van Bommel, Annnelotte

AU - Spronk, Pauline

AU - Mureau, Marc

AU - Siesling, Sabine

AU - Smorenburg, Carolien

AU - Tollenaar, Rob

AU - Vrancken Peeters, Marie Jeanne

AU - van Dalen, Thijs

N1 - Springer deal

PY - 2019/6/1

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N2 - Background: The rate of breast-conserving surgery (BCS) is used as an esthetic outcome parameter, while other treatments contribute also, such as neoadjuvant chemotherapy (NAC) enabling BCS or immediate breast reconstruction (IBR). This study explores these efforts to preserve the patient’s breast contour. Patients and Methods: All patients who underwent surgery for invasive breast cancer in The Netherlands between January 2011 and December 2015 were selected from the Dutch national breast cancer audit (n = 61,309). The breast-contour-preserving procedures (BCPP) rate was defined as the rate of primary BCS, BCS after NAC, or mastectomy with IBR. BCPP rates were calculated and compared by year of diagnosis, age categories, and individual hospitals. Results: The rate of primary BCS remained stable (53%) while the BCPP rate increased from 63% in 2011 to 71% in 2015 due to an increase in patients receiving BCS after NAC and mastectomy with IBR. Primary BCS rates increased with age (from 17% in patients aged < 30 years to 63% in patients aged 60–69 years), while the proportion of patients undergoing mastectomy with IBR decreased from 44% in patients < 30 years to 1% in patients ≥ 70 years. The BCPP rate was similar for all age groups except for patients > 70 years. BCPP rates varied between the different hospitals in The Netherlands, ranging from 47 to 88%. Conclusions: The chance of preserving the breast contour for patients with breast cancer has increased substantially over recent years. BCPP provides a comprehensive parameter of esthetic outcome of breast cancer surgery.

AB - Background: The rate of breast-conserving surgery (BCS) is used as an esthetic outcome parameter, while other treatments contribute also, such as neoadjuvant chemotherapy (NAC) enabling BCS or immediate breast reconstruction (IBR). This study explores these efforts to preserve the patient’s breast contour. Patients and Methods: All patients who underwent surgery for invasive breast cancer in The Netherlands between January 2011 and December 2015 were selected from the Dutch national breast cancer audit (n = 61,309). The breast-contour-preserving procedures (BCPP) rate was defined as the rate of primary BCS, BCS after NAC, or mastectomy with IBR. BCPP rates were calculated and compared by year of diagnosis, age categories, and individual hospitals. Results: The rate of primary BCS remained stable (53%) while the BCPP rate increased from 63% in 2011 to 71% in 2015 due to an increase in patients receiving BCS after NAC and mastectomy with IBR. Primary BCS rates increased with age (from 17% in patients aged < 30 years to 63% in patients aged 60–69 years), while the proportion of patients undergoing mastectomy with IBR decreased from 44% in patients < 30 years to 1% in patients ≥ 70 years. The BCPP rate was similar for all age groups except for patients > 70 years. BCPP rates varied between the different hospitals in The Netherlands, ranging from 47 to 88%. Conclusions: The chance of preserving the breast contour for patients with breast cancer has increased substantially over recent years. BCPP provides a comprehensive parameter of esthetic outcome of breast cancer surgery.

KW - UT-Hybrid-D

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DO - 10.1245/s10434-019-07265-3

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JO - Annals of surgical oncology

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